Comparative Study between Inverted U Shaped Incision & Round Block Technique in Management of Grade II & III Gynecomastia

Abstract

ynecomastia is a benign condition refers to enlargement of the male breast either due to proliferation of ductal, stromal or fatty tissue. It affects about 30-60 % of newborn infants and about 30-65 % of adolescents and old age. It occurs due to imbalance between serum levels of estrogens and androgens in the form of increasing levels of estrogens or decreasing levels of androgens. Also, it may be due to a defect in androgen receptors that become insensitive to normal levels of circulating androgens. The causes may be idiopathic, congenital, physiological, drug induced, oncological and systemic diseases. There are several classifications for gynecomastia that have been used but the most commonly used is Simon classification. Proper diagnosis of gynecomastia is achieved by adequate history taking, general, local examination and laboratory investigations. Treatment is divided into reassurance and follow up, treatment of the cause, pharmacotherapy and surgical therapy.