Hyperhidrosis pp 253-260 | Cite as

Quality-of-Life Evaluation During Treatment of Hyperhidrosis

  • Hugo Veiga Sampaio da Fonseca
  • José Ribas M. de Campos


The assessment of quality of life (QoL) is the best way to evaluate the short- and long-term response of the various therapies for hyperhidrosis as a disease that interferes directly with human behavior. The use of QoL questionnaires is the most practical way of performing this evaluation. Oxybutynin is a safe medication with proven effects, making it a good alternative for patients of all ages and for those who do not want surgery. It has a significant impact on QoL and sustained effect while continuing to be taken. Sympathectomy is the definitive surgical procedure that offers the best long-term results, with high rates of satisfaction and impact on QoL, despite being irreversible and always accompanied by some degree of compensatory hyperhidrosis. Although a minority of patients deny their occurrence, less than 2% of patients regret sympathectomy. The best way to prevent surgical regret is through robust patient selection and by avoiding higher resections in the sympathetic chain.


Quality of life Hyperhidrosis Oxybutynin Sympathectomy Compensatory hyperhidrosis 

Suggested Reading

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Hugo Veiga Sampaio da Fonseca
    • 1
  • José Ribas M. de Campos
    • 2
  1. 1.Royal Thoracic Surgery Clinic – Royal Portuguese Hospital of Beneficense in PernambucoRecifeBrazil
  2. 2.Thoracic SurgeryUniversity of São Paulo and Hospital Israelita Albert EinsteinSão PauloBrazil

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