Clinical and quality of life outcomes following reduction mammoplasty for symptomatic macromastia among Sri Lankan women: A prospective observational study

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Keywords:

Quality of life; Clinical outcomes; Reduction mammoplasty; Symptomatic macromastia; Sri Lanka

Abstract

Background: The impact of macromastia is unfortunately underestimated among developing South Asian countries. However, it remains a common cause of physical and emotional suffering among women.

Aims and Objectives: We aimed to evaluate the efficacy of reduction mammoplasty in alleviating symptoms of macromastia and its impact on quality of life (QOL) among Sri Lanka females.

Materials and Methods: A prospective study was conducted among 48 patients who underwent reduction mammoplasty in a surgical unit in Sri Lanka. SF-36 questionnaire and a Visual Analog Scale were used to assess QOL and pain. The outcomes were assessed 1 week prior and at 2 weeks and 6 months after surgery.

Results: Median age was 43 years and the median body mass index was 26.8 kg/m2. The average duration of symptoms was 2 years. All patients initially were reluctant to seek medical advice. Only 10.4% of patients were aware of the availability of treatment. Wise-pattern reduction mammoplasty was performed in 79.2%. There was a significant reduction in pain following surgery. There was also an improvement in all domains of the QOL following surgery, especially in general health, pain, and physical functions.

Conclusion: Reduction of mammoplasty caused a significant improvement in the overall QOL with the reduction in pain for patients suffering from macromastia. Creating more awareness among the public to encourage women to discuss breast-related symptoms and to overcome sociocultural taboos is a timely necessity.

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Published

2023-11-01

How to Cite

Kanchana Wijesinghe, Umesh Jayarajah, Malllawaarchchige Gayan Ranjan Mallawaarachchi, Sumali Hirunika De Silva, Thathya Thamarasie Wardana De Silva, Ananthmoorthy Krishnamoorthy, Dissanayaka Mudiyanselage Shihanie Rubeka, & Ajith De Silva. (2023). Clinical and quality of life outcomes following reduction mammoplasty for symptomatic macromastia among Sri Lankan women: A prospective observational study. Asian Journal of Medical Sciences, 14(11), 181-186. https://doi.org/10.3126/ajms.v14i11.53991

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Original Articles

How to Cite

Kanchana Wijesinghe, Umesh Jayarajah, Malllawaarchchige Gayan Ranjan Mallawaarachchi, Sumali Hirunika De Silva, Thathya Thamarasie Wardana De Silva, Ananthmoorthy Krishnamoorthy, Dissanayaka Mudiyanselage Shihanie Rubeka, & Ajith De Silva. (2023). Clinical and quality of life outcomes following reduction mammoplasty for symptomatic macromastia among Sri Lankan women: A prospective observational study. Asian Journal of Medical Sciences, 14(11), 181-186. https://doi.org/10.3126/ajms.v14i11.53991