Fwd: Galactocele treatment

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I can't even remember where I first saw this. Interesting, though.

Wagner-

J Med Assoc Thai. 2003 Mar;86(3):257-61.A controlled trial of a new treatment for galactocele.Auvichayapat P, Auvichayapat N, Tong-un T, Thinkhamrop B, Vachirodom D,Uttravichien T.Department of Physiology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.BACKGROUND: Needle aspiration, followed by excision should it recur, is thestandard method of treating galactocele. Villagers in Northeast Thailandtraditionally treat galactocele by probing the obstructed duct with double strands of pleated human hair. The aim of the study was to mimic this methodin order to scientifically assess its effectiveness.PATIENTS AND METHOD: Sixteen patients were consecutively enrolled between

1995 and 2001. They elected either standard needle aspiration (Group A) ortreatment by 6-0 nylon probing (Group . The results were compared usingthe Fisher's exact and Mann-Whitney tests at p-value < 0.05

..RESULTS: The two groups were similar regarding the children's age, firstpara, mass size, and duration of symptoms, but patients in the aspirationgroup were considerably younger than the nylon probing group. Both methods reduced the symptoms completely. Pain from treatment was reported by allpatients in the aspiration method while there were none in the nylon probingmethod (p < 0.001). The aspiration method took 14.8 minutes less time than the nylon probing method (p < 0.001). Recurrence was found in 2 out of 5patients in the aspiration method, whereas there was none in the 11 patientswith the nylon probing method (difference = 40%; 95% CI: -3% to 83%; p = 0.083).CONCLUSIONS: The new treatment of galactocele by nylon probing took longerthan aspiration but removed the protein plug that caused obstruction of theduct without pain and had a tendency to reduce the recurrence rate.