What is a ductoscopy?
is a minimally invasive procedure that is done
on an outpatient basis in the doctor’s
office by a specially trained physician. It
allows the doctor to view abnormalities in
the breast duct. The procedure can be done
on patients that have abnormal nipple discharge
and when physical exam and mammography have
been negative. Ductoscopy can also be used
for evaluation of high risk patients with nipple
How is ductoscopy performed?
is performed under local anesthesia. We will
provide you with a “comfort pack” which
includes topical anesthesia to be applied one
hour prior to the procedure.
The duct that is producing fluid will be dilated
with a probe. A fiberoptic flexible endoscope
will then be inserted into the duct. This allows
the doctor to visualize the mammary ducts on
a computer monitor. The doctor will insert some
additional local anesthesia into the duct along
with a saline solution to distend the duct for
better visualization and to provide maximum comfort
during the procedure. Besides direct inspection
of the ductal system using ductoscopy, the doctor
can also obtain biopsies of the duct lining that
will be sent to a lab for analysis.
What kind of follow-up care is needed?
is minimal discomfort after a ductoscopy. A feeling
of fullness and some mild pressure usually disappear
within 48 hours when your body absorbs the saline
fluid, which is like your own body’s
natural fluid. The doctor will want to see you
for a post-op visit and to discuss the biopsy results.
The biopsy results usually take 48-72 hours. Depending
on the results, you may need further work-up or
return to routine care.