Impact of delayed implant and DIEP flap breast reconstruction on body image and sexual satisfaction: a prospective follow-up study

Objective Prospective studies regarding the psychosexual impact after different types of breast reconstruction (BR) are scarce. The impact of either implant or deep inferior epigastric artery perforator (DIEP) flap BR on body image and sexual relationship satisfaction was investigated in time. Metho...

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Bibliographic Details
Published in:Psycho-oncology (Chichester, England) England), 2014-01, Vol.23 (1), p.100-107
Main Authors: Gopie, Jessica P., ter Kuile, Moniek M., Timman, Reinier, Mureau, Marc A. M., Tibben, Aad
Format: Article
Language:English
Subjects:
Body image
Body Image - psychology
Breast cancer
Breast Implants - psychology
Breast reconstruction
Cancer
Female
Follow-Up Studies
Hormone replacement therapy
Human body
Humans
Implants
Mammaplasty - psychology
Mastectomy
Mastectomy - psychology
Mental health
Middle Aged
oncology
partner relationship
Personal relationships
Personal Satisfaction
Plastic surgery
Prospective Studies
Sexual behavior
Sexual Behavior - psychology
Sexual relationships
sexual satisfaction
Surveys and Questionnaires
Time Factors
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Summary:Objective Prospective studies regarding the psychosexual impact after different types of breast reconstruction (BR) are scarce. The impact of either implant or deep inferior epigastric artery perforator (DIEP) flap BR on body image and sexual relationship satisfaction was investigated in time. Methods At baseline, 98 women opting for delayed implant or DIEP flap BR after mastectomy for breast cancer completed a survey. The majority was followed up at 6 months (96%) and 20 months (86%) postoperatively. Questionnaires included the body image scale, Dutch Relationship Questionnaire, Short Form – 36 Health Survey and the Impact of Event Scale. Results Mixed modeling analyses indicated that preoperative body image improved significantly after 20 months (p 
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.3377