1. What is a breast microdochtomy / microdochectomy?
    A probe is placed into one of the ducts from the breast draining to the nipple to find the source of the nipple discharge.  The area of the breast causing the discharge will then be removed.
  1. Anaesthetic
    This procedure may need anaesthetic. 
  1. What are the risks of this specific procedure?
    There are risks and complications with this procedure.
    They include but are not limited to the following:

    General risks:

  • Infection can occur, requiring antibiotics and further treatment.
  • Bleeding could occur and may require a return to the operating room. Bleeding is more common if you have been taking blood thinning drugs such as Warfarin, Asprin, Clopidogrel (Plavix or Iscover) or Dipyridamole (Persantin or Asasantin).
  • Small areas of the lung can collapse, increasing the risk of chest infection. This may need antibiotics and physiotherapy.
  • Increased risk in obese people of wound infection, chest infection heart and lung complications, and thrombosis.
  • Heart attack or stroke could occur due to the strain on the heart
  • Blood clot in the leg (DVT) causing pain and swelling. In rare cases part of the clot may break off and go to the lungs.
  • Death as a result of this procedure is possible.

    Special risks:

  • Bruising may occur around the operation site.
  • There may be a depression in the breast at the site of the excised lump.
  • Scarring may pull the nipple out of shape.
  • The scar may be thickened and red coloured, and it may be painful.
  • The pathologist will be asked to examine the tissue remains under the microscope. Further surgery may be necessary as a result.
  • Increased risk in smokers of wound and chest infections, heart and lung complications and thrombosis.