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Updated: Feb 1, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Sexuality, a topic that surgeons should discuss with women before risk-reducing mastectomy and breast reconstruction
Rieky E G Dikmans1, Tim C van de Grift1, Mark-Bram Bouman1
1Department of Plastic, Reconstructive and Hand Surgery, VUmc, Amsterdam, the Netherlands; Amsterdam Public Health Research Institute, the Netherlands.
Abstract:
While sexual health is an important aspect of quality of life, sexual issues usually go unaddressed during patient-provider communication. Breast cancer treatments and specifically breast surgery impact women's sexual well-being. However, women do not receive adequate information on this subject. Women who underwent prophylactic mastectomy and breast reconstruction invariably reported that they had underestimated the impact of mastectomy and reconstruction on their sexuality, and expressed a need for information and creating realistic expectations pertaining to sexuality. Therefore, we urge breast surgeons to take the lead in addressing sexuality along with other health-related quality-of-life outcomes during pre-operative consultation.
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