Sexualidade de mulheres mastectomizadas e submetidas à reconstrução mamária

Objetivo: O objetivo deste estudo e avaliar, por meio do questionario FSFI (Female Function Sexual Index), e comparar a sexualidade de mulheres mastectomizadas e de mulheres que se submeteram a reconstrucao mamaria pos-tratamento do câncer de mama. Metodos: Foi realizado um estudo descritivo transversal. A casuistica foi composta por dois grupos, um com 17 mulheres mastectomizadas e outro com 19 mulheres submetidas a reconstrucao mamaria pos-mastectomia, com idades entre 18 e 60 anos. Os criterios de exclusao foram: analfabetismo, vigencia de tratamento de quimioterapia, radioterapia ou psiquiatrico e o tratamento cirurgico a menos de um ano. Todas elas sao pacientes dos ambulatorios de cirurgia plastica ou de mastologia da Universidade Federal de Sao Paulo. As voluntarias responderam ao questionario FSFI. A analise estatistica foi realizada aplicando-se o teste t de Student e o coeficiente de correlacao de Pearson, tendo sido adotado o nivel de significância de p ≤ 0,05. Resultados: Os escores obtidos das respostas das mulheres mastectomizadas foram significativamente menores que os das submetidas a reconstrucao (medias: 10,15 ± 2,636 e 22,44 ±3,055, respectivamente; p = 0,0057). Nao foram observadas correlacoes entre os escores e o tempo de pos-operatorio (pos - p = 0,9382; pre - p = 0,2142), assim como para o desenvolvimento de atividade remunerada (pos - p = 0,7699; pre – p = 0,5245), relacao estavel (pos - p = 0,2613; pre - p = 0,5245) e idade (pos - p = 0,3951; pre – p = 0,8427) entre os dois grupos. A idade media das pacientes nao teve diferenca significativa (p = 0,4740; media pos = 47,71 ± 2,012; media pre = 46,69 ± 1,809). Conclusao: Existe melhora da funcao sexual das pacientes mastectomizadas apos a reconstrucao mamaria.(AU) Objectives: The purpose of this study is to evaluate, through the FSFI (Female Function Sexual Index) questionnaire, and to compare the sexuality of women that suffered mastectomy and those who had been submitted to the mammary reconstruction post-treatment of breast cancer. Methods: A transversal descriptive study was carried out. The casuistic was composed by two groups, one with 17 women that suffered mastectomy and another with 19 submitted women to the mammary reconstruction after-mastectomy, with ages between 18 and 60 years old. The exclusion criteria were: illiteracy, use of chemotherapy, radiotherapy, psychiatric treatment, and surgical treatment in less than one year. All the patients are from the ambulatory of plastic surgery or mastology of Sao Paulo Federal University. The volunteers answered the FSFI questionnaire. The statistical analysis was carried out by applying the Student's t-test and Pearson's correlation coefficient, p ≤ 0.05 was taken as the significance level. Results: The scores obtained from the answers of women that suffered mastectomy were significantly lower than those from women submitted to reconstruction (means: 10.15 ± 2.636 and 22.44 ± 3.055, respectively; p = 0.0057). Correlations were not found between scores and postoperative time (post - p = 0.9382; pre - p = 0.2142) ,as well as for the development of paid activity (post - p = 0.7699; pre - p = 0.5245), stable relation (post - p = 0.2613; pre - p = 0.5245), and age (post - p = 0.3951; pre - p = 0.8427) between both groups. The mean age of the patients did not have a significant difference (p = 0.4740; post mean = 4771 ± 2.012; pre mean = 46.69 ± 1.809). Conclusion: There is an improvement of the sexual function in patients that suffered mastectomy after breast reconstruction.(AU)