Breast-Specific Sensuality and Appearance Satisfaction: Comparison of Breast-Conserving Surgery and Nipple-Sparing Mastectomy

Casaubon, Jesse; Kuehn, Reed; Pesek, Sarah; Raker, Christina; Edmonson, David; Stuckey, Ashley; Gass, Jennifer

doi:10.1016/j.jamcollsurg.2020.02.048

Cited by 14 publications

(10 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Casaubon, J. T. (2020), United States (19) 585 -Mastectomy (nipple-sparing or not), nipple-sparing mastectomy with breast reconstruction, non-nipplesparing mastectomy with breast reconstruction and lumpectomy (FSFI) and (*) Women who underwent lumpectomy reported better QoL (satisfaction with appearance, comfort in being seen undressed, breast's role during intimacy and pleasurable breast caress) than mastectomized women, even when compared with those who had undergone nipple-sparing surgery followed by reconstruction.…”

Section: Resultsmentioning

confidence: 99%

The impact of mastectomy on body image and sexuality in women with breast cancer: a systematic review

Faria¹,

Rodrigues²,

Marquez³

et al. 2021

PSIC

View full text Add to dashboard Cite

Objective: The study aims to evaluate the impact of mastectomy on body image and sexuality of women with breast cancer, as well as to provide a general understanding of their quality of life. Method: This review followed the PRISMA guidelines. The expression “Mastectomy AND (sexuality OR “body image”)” was searched in Lilacs, Scielo, Pubmed and Scopus databases. Articles published in English, Portuguese and Spanish between 2010 and 2020 were selected. The text analysis was carried out by peers. Results: 69.3% (43) of the studies presented mastectomy as a technique that worsens body image, sexual functioning and quality of life of women. Less radical procedures, such as breast-conserving surgery, showed lower impact on these indicators. Breast reconstruction is an alternative to mitigate breast surgery impacts. Conclusion: Mastectomy caused the major impacts on body image, sexual functioning and quality of life. These implications need to be considered during therapeutic choice.

show abstract

Section: Resultsmentioning

confidence: 99%

The impact of mastectomy on body image and sexuality in women with breast cancer: a systematic review

Faria¹,

Rodrigues²,

Marquez³

et al. 2021

PSIC

View full text Add to dashboard Cite

show abstract

“…9,52 Even nipple-sparing mastectomy patients report pain or displeasure with the caress of their breasts and feel their breasts as less important during intimacy compared to before the mastectomy. 52,53 Furthermore, discomfort and physical pain after their breast surgeries may affect patients' sexual health. 54 Thus, educating patients preoperatively about the impact of breast surgery on sexual health is crucial as it may impact their decision-making; for example, choosing to forgo contralateral prophylactic mastectomy or choosing breast conservation over mastectomy may be options in the appropriate patient.…”

Section: Breast Surgerymentioning

confidence: 99%

A guide for addressing sexual health in breast cancer patients

Kim,

Carter,

Tadros

et al. 2024

Journal of Surgical Oncology

View full text Add to dashboard Cite

PurposeSexual health concerns are common in breast cancer surgery but often overlooked. Yet, breast cancer patients want more sexual health information from their providers. We aimed to share ways for providers to address sexual health concerns with their breast cancer patients at different stages of the treatment process.MethodsExperts in breast cancer treatments, surgeries, and sexual health at Memorial Sloan Kettering Cancer Center assembled to review the literature and to develop the recommendations.ResultsProviders should provide sexual health information for their breast cancer patients throughout the continuum of care. Conversations should be initiated by the providers and can be brief and informative. Whenever appropriate, patients should be referred to Sexual Medicine experts and/or psychosocial support. There are various recommendations and tools that can be utilized at diagnosis, endocrine and chemotherapy, and breast surgery to identify patients with sexual health concerns and to improve their sexual functioning.ConclusionIn this paper, we sought to provide providers with some insights, suggestions, and tools to address sexual health concerns. We encourage healthcare providers to initiate the conversation throughout the continuum of care beginning as early as diagnosis and refer patients to additional services if available.

show abstract

“…2). In six studies, items from existing patient-reported outcome measures were compiled into a new study-specific measure [39][40][41][42][43][44], whilst in the remaining studies, methods for item content generation were rarely described. Authors who used multi-item ad hoc measures often disaggregated sensation-specific item responses and analyzed them as a standalone score.…”

Section: Patient-reported Outcome Measure Characteristicsmentioning

confidence: 99%

Patient-Reported Outcome Measures Used for Assessing Breast Sensation after Mastectomy: Not Fit for Purpose

Smeele

Dijkstra

Kimman

et al. 2022

Patient

View full text Add to dashboard Cite

AIMS The aims of this review were (i) to evaluate whether patient-reported outcome measures used in clinical studies for assessing sensation after mastectomy and breast reconstruction are suitable for this purpose, and (ii) to explore whether any measures used for assessing sensation after non-oncologic breast surgery are worth modifying for use in post-mastectomy patients. Methods PRISMA guidelines were followed (PROSPERO number CRD42020178066). We searched six databases for studies of oncologic (i.e., therapeutic, prophylactic, and reconstructive) and non-oncologic breast surgery (e.g., breast reduction) in which sensation was assessed with a patient-reported outcome measure. From the selected studies, we extracted eligible measures, evaluated their fitness for purpose, and summarized the content of sensation-specific items. Results Of 6728 articles identified, we selected 135 studies that used 124 eligible patient-reported outcome measures. For 97% of these measures, details regarding development and measurement properties were unavailable. Four (3%) validated measures-the Sensory Disturbances subscale of the Breast Cancer Sequelae Cause Scales, the Discomfort subscale of the Breast Sensation Assessment Scale (BSAS), Didier et al.'s questionnaire for "Assessment of the patients' satisfaction with cosmetic results, physical and emotional impact of mastectomy", and the Breast Specific Pain subscale of the Breast Cancer Treatment Outcomes Scale (BCTOS)-each contain at least one item pertaining to breast sensation, but target different concepts of interest. In total, the measures feature 215 sensation-specific items, most of which concern symptom severity (97%) as opposed to impact on daily functioning (3%). Conclusion Patient-reported outcome measures used in clinical studies for assessing sensation after mastectomy and breast reconstruction are unsuitable for this purpose: they are either non-validated or non-specific. We failed to identify any measures for use in non-oncologic breast surgery populations worth modifying. To collect meaningful, patient-relevant data regarding sensation after mastectomy, it is pertinent that future clinical trials adopt psychometrically robust, specific patient-reported outcome measures. Hansje P. Smeele and Rachel C. H. Dijkstra have made an equal contribution to the work.

show abstract

Breast-Specific Sensuality and Appearance Satisfaction: Comparison of Breast-Conserving Surgery and Nipple-Sparing Mastectomy

Cited by 14 publications

References 41 publications

The impact of mastectomy on body image and sexuality in women with breast cancer: a systematic review

The impact of mastectomy on body image and sexuality in women with breast cancer: a systematic review

A guide for addressing sexual health in breast cancer patients

Patient-Reported Outcome Measures Used for Assessing Breast Sensation after Mastectomy: Not Fit for Purpose

Contact Info

Product

Resources

About