High Grade Gynecomastia: Surgical Correction and Potential Impact on Erectile Function |
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| Authors: | Sameh El Noamani Amr M Thabet Ashraf A Enab Osama Shaeer Ahmad El-Sadat |
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| Institution: | 2. Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Egypt;3. Department of Paediatric Surgery, Faculty of Medicine, Cairo University, Egypt;1. Coronary Care Unit, IRCCS Policlinico San Matteo, Pavia, Italy;2. Division of Cardiology 1-Interventional Cardiology, Azienda Ospedaliera Ospedale Niguarda Ca'' Granda, Milano, Italy;3. Division of Cardiology, University Hospital, Terni, Italy;4. USC Cardiologia, Dipartimento Cardiovascolare, AO Papa Giovanni XXIII, Bergamo, Italy;5. Cardiovascular Department, Civic Hospital, Legnano, Italy;6. Department of Clinical Science and Community Health, University of Milan, Milano, Italy;7. Division of Cardiology, Azienda Ospedaliera della Provincia di Lecco, Ospedale A. Manzoni, Lecco, Italy;2. From the Department of Neurosurgery and Pituitary Tumor Center. The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China;3. Department of Neurosurgery, The First Affiliated Hospital of Jinan University, Guangzhou, China;4. Department of Neurosurgery/Neurooncology, Sun Yat-sen University Cancer Center. State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine. No.651, Guangzhou, China;5. Department of Histology and Embryology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, China;6. Department of Medical Ultrasound, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China;7. Department of Laboratory Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.;1. Department of Urology, University of Miami Miller School of Medicine, Miami, FL;2. Herbert Wertheim College of Medicine at Florida International University, Miami, FL;3. Department of Medicine, University of Miami Miller School of Medicine, Miami, FL;4. Department of Health Informatics, University of Miami Miller School of Medicine, Miami, FL |
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| Abstract: | IntroductionGynecomastia denotes benign enlargement of the male breast. It is a common belief that gynecomastia is stigmatizing and may frequently cause social embarrassment and psychological stress. It is possible that this may reflect on erectile function of the afflicted. High grade gynecomastia requires radical breast tissue excision and skin reduction ending up in aesthetically unappealing scars.AimThe purpose of this study is to evaluate the reduction mammaplasty using no vertical scar technique in males with high grade gynecomastia; as regards technical refinements and outcome in the hope of providing a cosmetically appealing solution to this condition. This study also reports on the effect of high grade gynecomastia on erectile function, as well as the effect of surgery.MethodsFifteen male patients with gynecomastia underwent breast reduction using the “no vertical scar reduction mammaplasty.” Erectile function was evaluated before and after surgery.Main Outcome MeasuresSurgical outcome and erectile function.ResultsAll patients but one were satisfied with the outcome. Complications were minimal and manageable. Eleven out of 15 patients had a preoperative International Index of Erectile Function (IIEF) score less than 20 denoting erectile dysfunction. All but one (n = 10) showed improvement in their IIEF score following surgery. The difference between pre-operative IIEF (average 17.8) and postoperative (average 23.5) was statistically significant.ConclusionsThe “no vertical scar reduction mammaplasty” is a reliable technique in cases with gynecomastia and significant ptosis. It has the added benefits of avoiding the vertical scar, hiding the transverse scar in the shadow of the inferior aspect of the breast, with minimal complications. Gynecomastia as a condition causing a feminized outlook may have a negative impact on self confidence and body image. We suggest that this may have a potential negative effect on erectile function, that can be improved by adequate surgical correction. El Noamani S, Thabet AM, Enab AA, Shaeer O, and El-Sadat A. High grade gynecomastia: Surgical correction and potential impact on erectile function. |
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