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Sexuality Among Women Treated for Breast Cancer: A Survey of Three Surgical Procedures

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  • Breast Surgery
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Abstract

Background

The quality of life of Mexican patients with breast cancer has been studied, but female sexual function has only been explored superficially. The Female Sexual Function Index (FSFI) questionnaire has been validated as a tool to measure sexual function among women with cancer. However, no study in Mexico has been published.

Purpose

To evaluate and compare female sexuality of breast cancer survivors treated with three surgical procedures.

Materials and Methods

This is a cross-sectional questionnaire survey applied in patients without active disease and free of any oncologic treatment who underwent conservative mastectomy, and mastectomy with and without reconstruction. Patients included in this study had no evidence of active disease after at least 2 years of postoperative follow-up and agreed to complete the FSFI questionnaire during a surveillance visit.

Results

Seventy-four patients were included: 37.8% had undergone conservative mastectomy, 29.7% radical mastectomy, and 32.4% radical mastectomy plus reconstruction. Patients in the radical mastectomy group were older than those in the other groups (p = 0.002). Female sexual dysfunction was observed in 34% of patients, but in patients who underwent radical mastectomy, it was 63% by contrast with 14 and 29% in women treated with conservative mastectomy and radical mastectomy with reconstruction (p = 0.001).

Conclusions

We found a lower prevalence of female sexual dysfunction in patients treated with conservative mastectomy or reconstruction after radical mastectomy. Alternatively, radical mastectomy was offered to older patients, a condition that could contribute together with a loss of female perception to a higher prevalence of sexual dysfunction.

Level of Evidence III

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Authors and Affiliations

  1. ANKER Oncología Global, Guadalajara, Mexico

    Ana Olivia Cortés-Flores, Jorge Jiménez-Tornero, Carlos José Zuloaga-Fernández del Valle, Iztel Vázquez-Reyna & Luis Alberto García-González

  2. Morgan Oncología Servicios Integrales, Guadalajara, Mexico

    Adriana Vargas-Meza & Gilberto Morgan-Villela

  3. Hospital San Javier, Guadalajara, Mexico

    Manuel Solano-Genesta & Roberto Carlos Miranda-Ackerman

  4. Centro Universitario de Ciencias de la Salud de la Universidad de Guadalajara, Guadalajara, Mexico

    Guillermo Alonso Cervantes-Cardona

  5. Centro Universitario del Norte de la Universidad de Guadalajara, Guadalajara, Mexico

    Gabino Cervantes-Guevara

  6. Unidad de Investigación Biomédica 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Av. Belisario Domínguez 1000, Colonia Independencia, 44340, Guadalajara, Jalisco, Mexico

    Clotilde Fuentes-Orozco & Alejandro González-Ojeda

Authors
  1. Ana Olivia Cortés-Flores
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  2. Adriana Vargas-Meza
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  3. Gilberto Morgan-Villela
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  4. Jorge Jiménez-Tornero
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  5. Carlos José Zuloaga-Fernández del Valle
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  6. Manuel Solano-Genesta
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  7. Roberto Carlos Miranda-Ackerman
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  8. Iztel Vázquez-Reyna
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  9. Luis Alberto García-González
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  10. Guillermo Alonso Cervantes-Cardona
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  11. Gabino Cervantes-Guevara
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  12. Clotilde Fuentes-Orozco
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  13. Alejandro González-Ojeda
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Corresponding author

Correspondence to Alejandro González-Ojeda.

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The authors declare that they have no conflicts of interest to disclose.

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Cortés-Flores, A.O., Vargas-Meza, A., Morgan-Villela, G. et al. Sexuality Among Women Treated for Breast Cancer: A Survey of Three Surgical Procedures. Aesth Plast Surg 41, 1275–1279 (2017). https://doi.org/10.1007/s00266-017-0960-6

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  • DOI: https://doi.org/10.1007/s00266-017-0960-6

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