Prospective evaluation of skin and nipple-areola sensation and patient satisfaction after nipple-sparing mastectomy

Abstract

Background: Sensation and quality of life (QOL) before and after nipple sparing mastectomy (NSM) are poorly understood.

Methods: Women electing mastectomy with immediate reconstruction and eligible for NSM were prospectively enrolled in a sensation and satisfaction/QOL study. Women self-selected skin-sparing mastectomy (SSM) or NSM. Skin sensation testing using Semmes Weinstein monofilaments and patient satisfaction/QOL surveys were administered preoperatively and at 1 year postoperatively.

Results: 53 patients were enrolled (n = 38, 72% NSM and n = 15, 28% SSM). Both groups had significant reduction in postoperative skin sensation. For NSM, measurable NAC sensation was preserved in both NAC for 26% of patients and in one NAC for 68%. QOL and satisfaction was similar between groups. Neither group was satisfied with sexual arousal with breast or nipple stimulation after surgery.

Conclusion: Patients undergoing SSM and NSM have considerable loss in skin and NAC sensation following surgery. Satisfaction and QOL did not differ between groups. J. Surg. Oncol. 2016;114:11-16. © 2016 Wiley Periodicals, Inc.

Keywords: breast cancer; nipple sensation; nipple-sparing mastectomy; outcomes; quality of life.

© 2016 Wiley Periodicals, Inc.

Figures

Fig. 1.

Postoperative sensation model.