Publication: A Cross-sectional Study of Nipple and Areola Sensation after Female to Male Subcutaneous Mastectomy Comparing between Semicircular, Concentric Circular and Free Nipple Graft Techniques
Issued Date
2021-12-01
Resource Type
ISSN
01252208
Other identifier(s)
2-s2.0-85122562162
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.104, No.12 (2021), S119-S126
Suggested Citation
Ngamcherd Sitpahul, Bongkodrut Sittatanakorn, Ajchariya Sarovath A Cross-sectional Study of Nipple and Areola Sensation after Female to Male Subcutaneous Mastectomy Comparing between Semicircular, Concentric Circular and Free Nipple Graft Techniques. Journal of the Medical Association of Thailand. Vol.104, No.12 (2021), S119-S126. doi:10.35755/jmedassocthai.2021.S05.00089 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/77444
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
A Cross-sectional Study of Nipple and Areola Sensation after Female to Male Subcutaneous Mastectomy Comparing between Semicircular, Concentric Circular and Free Nipple Graft Techniques
Other Contributor(s)
Abstract
Background: Subcutaneous mastectomy is one of the most common procedure in Female to Male transexualism. The sensitivity of nipple-areola-complex (NAC) postoperatively is still unclear. Objective: To evaluate nipple-areola-complex (NAC) sensation after female to male subcutaneous mastectomy comparing between semicircular, concentric circular and free nipple graft techniques. Materials and Methods: The present study included 47 patients who underwent subcutaneous mastectomy (MG) with semicircular (SC, n=6), concentric circular (CC, n=17) and free nipple graft technique (FNG, n=24). NAC sensitivity was assessed for touch, pain, cold temperature, erogenous sensation and nipple erection. Results: The most sensation patients concerned is touch sensation (58%), pain (18%), erogenous/erection (8%) and cold (7%). For touch sensation SC and CC still had touch sensation but 27% of FNG had loss touch sensation (p=0.001). For pain sensation SC and CC still had touch sensation but FNG had lost pain 33% at areola and 23% at nipple (p<0.001). For cold sensation 12% of CC and 25% of FNG had lost cold sensation at areola (p<0.001) and 12% of CC and 9% of FTG had lost cold sensation at nipple (p<0.001). For erogenous sensation 50% of SC, 35% of CC and 77% of FNG had lost erogenous sensation. For nipple erection 50% of SC, 35% of CC had erect but no nipple erection in FNG. Conclusion: All sensation parameters of NAC. SC is better than CC and FNG is the worst. The most sensation patients concerned is touch sensation.