Breast Duct Surgery Gold Coast

Usually not. Most nipple discharge is caused by benign conditions. However, discharge should be checked by a doctor if it comes out on its own without squeezing, comes from one nipple or a single duct, is clear or bloodstained, or occurs with a lump or other breast change. Discharge from both nipples only when squeezed is common and often normal, but it is still worth mentioning to your GP.

Common causes include an intraductal papilloma, which is a small benign growth inside a milk duct, and duct ectasia, where the ducts widen and become inflamed. Hormonal changes, some medications and infection can also cause discharge. Less commonly, discharge can be caused by cancer, which is why it should be investigated.

Investigation usually starts with a breast examination and imaging, such as a mammogram, an ultrasound or both. A sample of the discharge may be tested, and in some cases an MRI or a biopsy is recommended. Dr Gault will explain each test before it happens and go through your results with you.

A microdochectomy removes only the single duct that is producing the discharge. A total duct excision removes all of the major ducts behind the nipple, and may be recommended when discharge comes from several ducts or the affected duct cannot be identified. Dr Gault will recommend the approach that suits your situation.

After a microdochectomy, it may still be possible to breastfeed from the affected breast, because the other ducts are left in place. A total duct excision prevents breastfeeding from that breast. If you may want to breastfeed in the future, let Dr Gault know so this can be considered when planning your surgery.

Breast duct surgery is performed under a general anaesthetic and is often done as day surgery. The duct is removed through a small cut at the edge of the areola. Dr Gault operates at Pindara Private Hospital, Benowa.

Recovery is usually straightforward, although some bruising, swelling and tenderness around the nipple are common for a short time. Recovery varies from person to person, and Dr Gault and our breast care nurse will give you advice for your own recovery and wound care.

Like any surgery, breast duct surgery carries risks. These can include infection, bleeding or bruising, reduced sensation in the nipple, a change in the shape of the nipple or the nipple turning inwards, particularly after a total duct excision, and discharge returning from another duct. There are also risks associated with the anaesthetic. Dr Gault will explain the risks that apply to you before surgery.

The removed duct and surrounding tissue are sent to a pathologist, who examines them to find the cause of the discharge. Dr Gault will go through the results with you at your follow-up appointment and explain whether any further treatment is needed.

You will have access to our breast care nurse, Julie, who can explain each step, answer your questions alongside Dr Gault and connect you with other support services if you need them.

Costs vary depending on the procedure, the hospital and your level of health insurance cover. Please contact our rooms on (07) 5539 3999 to discuss the likely costs for your situation. You may also wish to check with your private health fund about your cover and any excess.

You can book by calling (07) 5539 3999 or by sending a message through the Quick Enquiry form on this page. A referral from your GP or another medical practitioner is needed to claim a Medicare rebate for your consultation. Our rooms are at Suite 11, Pindara Place, 13 Carrara Street, Benowa QLD 4217.