Nipple discharge, even in the absence of clinical or imaging findings, may require surgery to remove the ducts behind the nipple to stop the discharge and to provide tissue to the pathologist to identify the cause of the discharge.
Microdochectomy is a targeted surgical procedure where a single duct behind the nipple is removed. It is usually recommended for discharge from a single duct in the nipple. It is suitable for younger women who wish to preserve the ability to breastfeed after surgery.
Total duct excision is a surgical procedure where all the ducts behind the nipple are removed. It is usually recommended for discharge from multiple ducts in the nipple or persistent discharge after microdochectomy.
What is the expected recovery after microdochectomy and total duct excision?
What is the expected recovery after microdochectomy and total duct excision?
Hospital Stay. Most people go home on the day of surgery. It is recommended that you be accompanied home by a carer who will stay with you (or very close by) for the first 24 to 48 hours.
Wound Care. Your wounds are closed with dissolvable sutures and skin glue and covered with waterproof dressings. Remove your dressings in 2 weeks – your wounds should be healed by then and you do not need further dressings. You can massage your scar at 3 weeks using a plain moisturiser with firm circular motions for at least 10 minutes twice a day.
Bras. You may feel more comfortable wearing a supportive wire-free bra for the first few days.
Driving. You should not drive for at least 24 hours after general anaesthesia.
Physical Activity. You are encouraged to do as much walking as is comfortable. Avoid lifting (over 1 kg), pushing or pulling for 2 weeks – this includes lifting children and housework such as vacuuming or hanging out the washing. Avoid exercises that create a lot of 'breast bounce' for 2 weeks – such as jogging or cardio sessions.
What are the risks of microdochectomy and total duct excision?
What is the cost of surgery?
Dr Mary Ling performs breast surgery at Gosford Private Hospital and Brisbane Waters Private Hospital on the Central Coast. Dr Ling welcomes patients from Newcastle, Lake Macquarie, the Hunter Region, and Northern NSW.
