What question did this study set out to answer?

This study aims to assess patients' experiences and outcomes following treatment for mammary abscesses in the UK.

February 19, 2026The Breast Journal0 citationsOpen Access

Mastitis and Mammary Abscess Management Audit (MAMMA): A Survey of Patients’ Perspective on the Management of Mammary Abscesses in the UK

ARA. RoseImperial College London ACAlona Courtney NJNatasha Elysha JiwaKing George Hospital

Key Points

This study aims to assess patients' experiences and outcomes following treatment for mammary abscesses in the UK.
Cross-sectional online survey conducted from February to August 2024.
Participants included UK adult women with a history of breast abscess.
Data were analyzed using SPSS and NVivo software with thematic and descriptive analysis.
50.58% of participants underwent needle aspiration, while 23.84% received surgical incision and drainage.
68.29% who had surgery reported prolonged wound healing, while 85.37% experienced permanent scarring.
58.12% reported breastfeeding disruption, and 40.17% were unable to resume breastfeeding post-treatment.
Negative impacts on sexual well-being (36.5%), mental health (31.7%), and self-confidence (24.4%) were reported among surgical patients.

Abstract

Background The recent Mastitis and Mammary Abscess Management Audit demonstrated widespread variation in the management of breast abscesses across the United Kingdom (UK), with up to one‐fifth undergoing surgical drainage rather than image‐guided needle aspiration. The impact of these practices on patient’s perspective and quality of life is unclear. This study aimed to assess patients’ experiences following breast abscess treatment, focusing on treatment modality, cosmesis, breastfeeding and quality of life. Methods A cross‐sectional online survey was conducted between February and August 2024, aimed at UK‐wide adult women with a history of breast abscess. Descriptive and thematic analyses were performed using SPSS and NVivo software, with multiple imputation for missing data. Results Of 172 participants, half underwent needle aspiration (50.58%), while 23.84% received surgical incision and drainage. Among those undergoing surgery, 68.29% reported prolonged wound healing, 85.37% experienced permanent scarring and a significant negative impact on their breast appearance ( p = 0.029). Breastfeeding was disrupted in 58.12%, and 40.17% were unable to resume breastfeeding following treatment. Amongst participants who underwent surgery, 36.5% reported negative impacts on sexual well‐being, 31.7% on mental health, and 24.4% on self‐confidence. Thematic analysis revealed two major themes: repercussions of the treatment and issues with provision of care, highlighting delays in diagnosis, inadequate breastfeeding support, and negative cosmetic outcomes. Discussion This study is the first to investigate patients’ experiences of breast abscess management, highlighting significant variability in practice and the association of worse cosmetic and breastfeeding outcomes with surgical treatment. Standardisation of care and improved patient counselling may improve patient experience and outcomes.

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