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Anyone had breast reduction surgery?

User
Posted 12 Apr 2022 at 18:47

I seem to be in a small minority here of men who had bicalutimide as a primary hormone therapy drug before and after radiotherapy. In my case it was 150mg a day for 18 months; my oncologist said that he prefers to prescribe it over the injectable HT because he's found that it's better tolerated. 

The HT worked fine, and three years after finishing RT I am (fingers crossed) cancer-free, but the one significant side-effect of bicalutimide is that it causes breast growth and, despite both taking tamoxifen and having breast-bud radiotherapy, I've finished up with a lovely set of breasts 😁. Obviously not the worst thing in the world to happen, but I am somewhat conscious of my new "attributes" and so tend to wear loose-fitting shirts, etc, to make it less obvious.

I happened to notice recently on the NHS website that, although male breast-reduction surgery falls into the category of a cosmetic procedure, the one situation where it can be funded by the NHS is when it's the result of prostate cancer hormone treatment, which is my situation. Consequently I've asked my GP to refer me for potential surgery, which he was happy to do. I'm now awaiting an appointment at the breast clinic at the local hospital which, I must admit, is a sentence I never thought I'd find myself writing!

I was just wondering if anyone else here had gone down that route and, if so, what the outcome had been. Perhaps I'm a pioneer due to the rarity of the use of bicalutimide as a primary HT?

Anyway, I'll keep you posted on the outcome 🙂.

Chris

 

User
Posted 14 Apr 2022 at 16:08
I guess from the lack of responses that I am a pioneer in the endeavour 😁. I'll keep you posted with progress!

Cheers,

Chris

User
Posted 14 Apr 2022 at 16:44
I suppose it depends on the extent to which you are affected which like so much else varies from one individual to another.

I should be very interested to lean how you get on. Would you mind asking if they would also do a tummy tuck as it was HT that caused my waist to expand and is well know to precipitate this situation?!!!

Barry
User
Posted 17 Apr 2022 at 13:41

Also interested in following this.

I have Tamoxifen, but also have some breast fat growth, which Tamoxifen has no effect on.

User
Posted 17 Apr 2022 at 14:09
I'll definitely keep you posted in this thread, Andy.

Cheers,

Chris

User
Posted 23 Apr 2022 at 09:03

My GP's now made the referral. This extract from the referral letter may be of interest:

"I have e-mailed the PLCP for information and they have advised that gynaecomastia surgery is not routinely funded by the NHS, however as the patients condition is caused by treatment for prostate cancer treatment is not restricted by the policy and referral can be made to a specialist for further assessment without the requirement for individual funding request. Therefore I would be grateful if you could kindly review Mr X to discuss his options."

So that confirms what I thought to be the case: that the NHS can fund such treatment when it's the result of HT. I don't know what "PLCP" stands for - presumably it's some body which approves funding?

EDIT: Found it 😁:

"The policy “Procedures of Low Clinical Priority” sets out thresholds and an agreed set of criteria which must be met before your GP can refer you for an operation or treatment. "

Cheers,

Chris

 

Edited by member 23 Apr 2022 at 09:07  | Reason: Not specified

 
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