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Sexual identity and prophylactic mastectomy

S Romm, J Hutzler, R B Berggren

    Annals of Plastic Surgery
    |July 1, 1981
    PubMed
    Summary
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    Psychological adjustment after prophylactic mastectomy with reconstruction was evaluated in 9 women. Despite psychopathology, most women adjusted well, with psychiatric consultation aiding management.

    Area of Science:

    • Oncology
    • Psychology
    • Plastic Surgery

    Background:

    • Psychological adjustment following prophylactic mastectomy with reconstruction is understudied.
    • Assessing patient and surgeon perceptions of surgical outcomes is crucial.

    Purpose of the Study:

    • To evaluate the psychological adjustment of women undergoing prophylactic mastectomy with reconstruction.
    • To explore the impact of sexual identity on surgical outcomes.
    • To compare patient and surgeon evaluations of operative results.

    Main Methods:

    • A review of 9 women undergoing prophylactic mastectomy with reconstruction.
    • Interviews with a psychiatrist.
    • Surgeon questionnaires.
    • Subjective evaluations of operative results by patients and surgeons.

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    Main Results:

    • A high degree of psychopathology, including depression, was observed in the study group.
    • Most women reported a weak preoperative sexual identity.
    • Surgeons were often unaware of patients' psychological distress.
    • Despite psychopathology, most patients accepted surgical outcomes.
    • Women denying their sexuality may adjust more easily.

    Conclusions:

    • Psychiatric consultation can improve patient management after prophylactic mastectomy with reconstruction.
    • Further research is needed to understand the long-term psychological impact.
    • Interdisciplinary care is essential for optimal patient outcomes.