TITLE:
Surgical Management of Severe Hidradenitis Suppurativa in Women: Outcome and Quality of Life Assessment
AUTHORS:
Dana Sawan, Cyril Touboul, Barbara Hersant, Jean Paul Meningaud
KEYWORDS:
Hidradenitis Suppurativa, Acne Inversa, Wide Excision, Recurrence, Surgical Satisfaction, Female Sexual Function Index
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.11,
November
8,
2021
ABSTRACT: Background: Hidradenitis suppurativa (HS) or
Acne inversa sometimes referred to as Verneuil’s disease, is a
rare and debilitating condition arising in the intertriginous folds that bear
apocrine glands (axillae, groin, perineum, pubis, ano-genital area). It has a
deleterious impact on the life of affected persons who tend to be more depressive
and poorly socially and sexually connected because of pain, malodor and
stigmatization. Methods: We conducted a retrospective study in Henri Mondor Hospital in Créteil,
France, in order to assess the effectiveness of surgery as a radical treatment
and also assess the factors related to recurrence and the surgical and sexual
satisfaction in women operated for severe HS of perineum and genitalia. Results: Fifty-five women were included. We got a recurrence
rate of 23.6%. 66.7% of recurrence occurred after localized excision. 83% of
patients were satisfied with surgery results and would undergo a revision
surgery or recommend it. The factors significantly associated with recurrence
were overweight (p = 0.0046), location in
groin (p = 0.0040), localized excision (p = 0.02), total excision (p = 0.009),
healing via secondary intention (p = 0.001) and disability due to HS (p =
0.006). Assessment of sexual response thanks to the FSFI showed an alteration
of all the domains of sexual response but the composite index of 18.51 was
below the threshold to diagnose pathologic sexual condition.