Is there a role for surgery in the treatment of XXXX ?

@entity1 @entity5026 @entity158 @entity1159
@entity5026 is a common condition affecting most @entity1 at some stage in their reproductive life. @entity5026 is resistant to treatment in 6% of cyclical and 26% non-cyclical @entity1 . Surgery is not widely used to treat this condition and only considered in @entity1 with severe @entity5026 resistant to medication. The aims of this study were to audit the efficacy of surgery in severe treatment resistant @entity5026 and to assess @entity1 satisfaction following surgery. This is a retrospective review of the medical records of all @entity1 seen in @entity5026 clinic in the University Hospital of Wales, Cardiff since 1973. A postal questionnaire was distributed to all @entity1 who had undergone surgery. Results showed that of the 1054 @entity1 seen in @entity5026 clinic, 12 (1.2%) had undergone surgery. Surgery included 8 subcutaneous mastectomies with implants (3 bilateral, 5 unilateral), 1 bilateral simple mastectomy and 3 quadrantectomies (1 having a further simple mastectomy). The median duration of symptoms was 6.5 years (range 2-16 years). Five @entity1 (50%) were @entity158 free following surgery, 3 developed capsular @entity1159 with dehiscence. @entity158 persisted in both @entity1 undergoing quadrantectomy. We conclude that surgery for @entity5026 should only be considered in a minority of @entity1 . @entity1 should be informed of possible complications inherent of reconstructive surgery and warned that in 50% cases their @entity158 will not be improved.
