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Effect of Operative Treatment on Psychosocial Problems of Men With Gynaecomastia

100%
Kasielska A., Antoszewski B.
Polish Journal of Surgery
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2011
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vol. 83
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issue 11
614-621
EN
Gynaecomastia is defined as a hyperplasia of the breast tissue in men, bilateral or unilateral, usually not associated with the presence of malignant lesions.The aim of the study was to explore the psychosocial problems of men with gynecomastia and the effect of operative breast reduction on these problems.Material and methods. The survey was conducted in a group of 47 men who were treated surgically for gynaecomastia in the Department of Plastic, Reconstructive and Aesthetic Surgery. The mean age of the respondents was 25.6±3.5 years. For survey purposes, a questionnaire was developed with questions about the age of onset of gynaecomastia, coexisting disorders and medicines taken and also various aspects of the psychosocial life of the respondents. The questionnaire was completed by patients before surgery and at minimum 6 months after surgery.Results. The findings showed that in almost all patients gynaecomastia had caused emotional discomfort and limitation of everyday activity. In many patients, enlarged breasts caused difficulties in entering into social relationships. More than a half of the surveyed men admitted that their problems were ridiculed by others and they felt isolated. A comparison of the respondents' answers before and after the surgery showed statistically significant differences in all of the analysed questionnaire items.Conclusions. Gynaecomastia causes considerable emotional discomfort and limitation of everyday activity in young men, and that is why it constitutes a psychosocial problem. Surgical treatment of gynaecomastia significantly contributes to an increase in social activity and an improvement of social acceptance and emotional comfort, and thus significantly improves satisfaction from personal life in the men who underwent this intervention.
2
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Face Skin Neoplasms - Reasons for Delayed Treatment

81%
Antoszewski B., Kasielska A., Fijałkowska M.
Polish Journal of Surgery
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2011
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vol. 83
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issue 7
361-366
EN
The most common skin neoplasms are carcinoma: basocellulare, spinocellulare, planoepitheliale and melanoma malignum. Early surgical treatment is crucial for recovery as well as for good aesthetic result, especially on exposed body parts. All those lesions are visible for observers and the time from their appearance to surgical treatment seems to be too long.The aim of the study was to answer the following questions: 1. After what time from the skin lesion appearance the patients report to a surgeon? 2. What is the underlying cause of delayed reporting for treatment of patients with skin lesions?Material and methods. Questionnaire studies and analysis of medical histories were performed in the group of patients referred to Plastic Surgery Out-Patient Clinic in Łódź because of facial skin tumor in the last 5 years. Finally we collected data for 123 patients.Results. The analyzed group consisted mostly of men (n=72). The age of respondents ranged from 45 to 92 years, mean 69.9 years ± 10.8 years. Mean time from observing lesion to the first medical consultation was 7.3 months and to visiting our Out-Patient Clinic was 2.7 years (ranged from 3 months to 16 years). All patients were qualified to surgical excision of tumor. Histopathological verification confirmed diagnosis of malignant neoplasms in 116 patients. In question concerning causes of delay in medical consultation or treatment, all respondents answered that fear of surgical procedure was one of the reasons.Conclusions. Fear of surgical treatment is the most common cause of delay in patients' visiting doctor. In our society conviction of neoplasm spreading after surgical excision is common, especially among elderly.
3
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Influence of Internal Carotid Endarterectomy on Patients' Life Quality

71%
Kaźmierski P., Kasielska A., Bogusiak K., Łysakowski M., Stelągowski M.
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EN
Appropriate treatment of symptomatic carotid artery stenosis can reduce ischemic cerebral strokes' risk and in some cases eliminate neurological symptoms. Endarterectomy is the most common surgical treatment.The aim of the study was to examine the influence of carotid endarterectomy on neurological symptoms and patients' life quality.Material and methods. The material comprised of 102 patients who underwent endarterectomy. All of the patients were given a questionnaire with a list of neurological symptoms (vertigos, headaches, left hemiparesis, right hemiparesis, numbness, acroparaesthesia, single syncope, recurrent syncopies, diplopia, tinnitus, concentration disturbances and aphasia) and with a numerical life quality scale to fill in before and a year after the surgery.Results. Vertigo, headache, single and recurrent syncopies and aphasia as well as cerebral stroke and amaurosis fugax were significantly more rarely observed after endarterectomy. The mean value of patients' life quality evaluated on a 10-point Likert scale after the surgery increased (3.9 vs 6.3).Conclusions. A year after carotid endarterectomy patients' life quality improves which is connected with neurological symptoms' regression and no further symptoms' occurrence due to a preventive role of the surgery.
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