Função sexual em pacientes submetidas a mamoplastia de aumento

Função sexual em pacientes submetidas a mamoplastia de aumento

Alternative title Sexual function outcomes in patients undergoing breast augmentation
Author Guimarães, Paulo Afonso Monteiro Pacheco Autor UNIFESP Google Scholar
Advisor Sabino Neto, Miguel Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Graduate program Cirurgia translacional - São Paulo
Abstract Introdução: As mamas representam uma serie de valores sociais e culturais, e sao simbolo de feminilidade, maternidade e sexualidade. A mamoplastia de aumento e a segunda cirurgia estetica mais realizada no Brasil, e esta relacionada com a melhora da imagem corporal, autoestima e qualidade de vida. A sexualidade e um importante componente da qualidade de vida. Objetivo: Avaliar a funcao sexual de pacientes submetidas a mamoplastia de aumento. Metodos: Quarenta e sete mulheres candidatas a mamoplastia de aumento foram tratadas cirurgicamente. O questionario Quociente Sexual u Versao Feminina (QS-F) foi aplicado no pre-operatorio e no pos-operatorio de dois, quatro e 18 meses. O questionario avalia cinco dominios do ciclo de resposta sexual: desejo e interesse sexual, preliminares, excitacao e sintonia com o parceiro, conforto, orgasmo e satisfacao sexual. Resultados: Quarenta e cinco pacientes concluiram a pesquisa. Houve melhora significante do escore total do QS-F no pos-operatorio (p=0,001), relacionado ao aumento da pontuacao nos dominios preliminares (p=0,024), excitacao (p=0,018) e satisfacao sexual (p=0,001). Nas pacientes que apresentaram estrias, nao houve melhora significante do QS-F (p=0,627), ao contrario das que nao tiveram a mesma complicacao, que apresentaram melhora (p<0,001). As pacientes que mantiveram o relacionamento estavel (p=0,224), e as que permaneceram sem relacionamento estavel (p=0,149) durante todo o periodo, nao apresentaram alteracoes significantes. Ja nas pacientes que tiveram mudanca no relacionamento no periodo, houve melhora significante do QS-F (p=0,022). Conclusao: A mamoplastia de aumento apresentou impacto positivo na funcao sexual das pacientes

Introduction: The breasts represent a series of cultural and social values, and are symbol of femininity, motherhood and sexuality. Hypomastia is a very common complaint. In the evaluation of psychic welfare, quality of life questionnaires represent the opinion of the patient in relation to treatment outcome. Breast augmentation is related to improved body image, self esteem and quality of life. Sexuality is a significant component of quality of life. Objective: To evaluate sexual function of patients undergoing breast augmentation. Methods: 47 patients with an interest in breast enlargement were consecutively selected, treated and answered the Female Sexual Quocient (QS-F) questionnaire before and after the surgery. QS-F was developed to evaluate five areas of sexuality: sexual desire, sexual foreplay, subjective arousal, comfort, satisfaction. Results: 45 patients were considered for the study, divided into: with or without streaks, with or without stable relationship, or that relationship changed over the time. There was a significant increase in the total score of QS-F (p=0.001), sexual foreplay (p=0.024), subjective arousal (p=0.018) and sexual satisfaction (p = 0.001) between the preoperative and postoperative of 4 and 18 months. Only the group without SD showed significant increase in the total score of the QS-F over the time (p <0.001). There was no significant difference in patients who maintained (p=0.224) and who didn’t remained stable relationship (p=0.149) over the time. However, patients who have changed relationship in the period showed significant improvement of QS-F (p=0.022). Abstract 82 Conclusion: The breast augmentation had a positive impact on patient sexual function.
Keywords Mamoplastia
Qualidade de Vida
Sexualidade
Questionários
Implante Mamário
Language Portuguese
Sponsor Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Date 2014
Published in GUIMARÃES, Paulo Afonso Monteiro Pacheco. Função sexual em pacientes submetidas a mamoplastia de aumento. 2014. 145 f. Dissertação (Mestrado em Ciências) - Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2014.
Publisher Universidade Federal de São Paulo (UNIFESP)
Extent 145 f.
Access rights Open access Open Access
Type Dissertation
URI http://repositorio.unifesp.br/handle/11600/23223

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