Learn about Major Duct Excision Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Major Duct Excision and request assistance for cost estimates or appointments.

About Major Duct Excision

Major Duct Excision, also known as microdochectomy or total duct excision, is a surgical procedure performed by a General Surgeon to remove one or more of the major milk ducts (lactiferous ducts) located beneath the nipple and areola. It is primarily indicated for diagnosing and treating persistent, spontaneous, single-duct nipple discharge, often when the discharge is bloody or suspicious for underlying pathology. The procedure involves a small incision around the areola to access and excise the affected duct system, which is then sent for pathological analysis to rule out conditions like ductal papilloma or carcinoma. It is a definitive diagnostic and therapeutic intervention that can alleviate symptoms and provide peace of mind.

Key Highlights

    Definitive diagnostic procedure for identifying the cause of suspicious nipple discharge.Therapeutic removal of problematic ducts, often resolving discharge symptoms completely.Minimally invasive with a discreet incision typically placed around the areola.Provides tissue for biopsy, offering a clear pathological diagnosis.Can be performed under local or general anesthesia, depending on patient and surgeon preference.

Who is this surgery for?

  • Persistent, spontaneous, single-duct nipple discharge (clear, serous, or bloody).
  • Suspicious or pathological nipple discharge, especially in patients over age 40.
  • Identification of an intraductal papilloma or other benign lesion on imaging (e.g., ductogram).
  • Recurrent episodes of duct ectasia or periductal mastitis causing significant symptoms.
  • To rule out ductal carcinoma in situ (DCIS) or other malignancies when non-invasive tests are inconclusive.

How to prepare

  • Complete preoperative evaluation including medical history, physical exam, and imaging (mammogram, ultrasound, or ductogram).
  • Discussion of anesthesia options (local vs. general) and associated risks with the anesthesiologist.
  • Fasting for 6-8 hours before the procedure if general anesthesia is planned.
  • Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised by the surgeon.
  • Arranging for transportation home post-procedure and support during initial recovery.

Risks & possible complications

  • Common: Post-operative pain, bruising, swelling, and temporary numbness around the nipple.
  • Infection at the surgical site.
  • Hematoma (collection of blood) or seroma (collection of fluid) formation.
  • Altered nipple sensation (increased or decreased), which may be permanent.
  • Rare: Damage to surrounding breast tissue, cosmetic changes to breast contour, or inability to breastfeed from the affected breast in the future.
  • Scarring, though the incision is usually well-concealed.

Recovery & hospital stay

  • Most patients can go home the same day or after a short observation period.
  • Pain is managed with prescribed or over-the-counter analgesics.
  • A supportive bra should be worn continuously for several days to minimize swelling and provide comfort.
  • Stitches are usually dissolvable; the wound should be kept clean and dry as per surgeon's instructions.
  • Avoid strenuous activity, heavy lifting, and vigorous arm movements for 1-2 weeks.
  • Follow-up appointment is scheduled to review pathology results and check healing progress.
  • checked Typical hospital stay: 0-1 days (typically outpatient or short stay)
  • checked Expected recovery time: 1-2 weeks for normal activities, 4-6 weeks for complete healing and resumption of all strenuous activities

Frequently Asked Questions

If you are considering major duct excision in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for major duct excision compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 35 Thousand – 85 Thousand 0-1 days (typically outpatient or short stay) ~ 1-2 weeks for normal activities, 4-6 weeks for complete healing and resumption of all strenuous activities Know More
Turkey TRY 123 Thousand – 298 Thousand 0-1 days (typically outpatient or short stay) ~ 1-2 weeks for normal activities, 4-6 weeks for complete healing and resumption of all strenuous activities Know More

Top hospitals for Major Duct Excision in India

These partner hospitals in India have dedicated general surgery teams and experience managing patients undergoing major duct excision.

  • Star
  • Star
  • Star
  • Star
  • Star
89+ Rating

Kamineni Hospital, Tadigadapa

  • Iconvijayawada, India
  • Icon44 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
15+ Rating

Manipal Hospital Mukundapur

  • IconKolkata, India
  • Icon145 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
43+ Rating

Manipal Hospital Dhakuria

  • IconKolkata, India
  • Icon200 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
91+ Rating

Manipal Hospital Malleshwaram

  • IconBangalore, India
  • Icon105 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
98+ Rating

Manipal Hospital Doddaballapur

  • IconBangalore, India
  • Icon30 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
156+ Rating

Manipal Hospital Patiala

  • IconPatiala, India
  • Icon52 Doctors
  • Star
  • Star
  • Star
  • Star
  • Star
20+ Rating

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
  • Icon55 Doctors
PATIENT REVIEW

Vivaan Saxena, a 48-year-old software engineer...

Vivaan Saxena, a 48-year-old software engineer and father of two, had been experiencing persistent, clear discharge from his right nipple for over a year. Initially embarrassed, he dismissed it, but when the discharge became blood-tinged and he felt a small, firm lump behind the nipple, anxiety set in. His family history of breast cancer (his mother) made him particularly fearful. After a clinical exam, ultrasound, and ductogram, his surgeon recommended a Major Duct Excision to remove the abnormal duct system and obtain a definitive diagnosis, as the imaging was suspicious but inconclusive. Vivaan found the pre-operative wire localization uncomfortable but manageable. The surgery itself, under general anesthesia, went smoothly. The biopsy results, which came a week later, revealed a benign intraductal papilloma with no signs of cancer. His recovery involved two weeks of limited arm movement and some initial soreness, but he healed well with only a small, discreet scar. Emotionally, Vivaan journeyed from shame and deep-seated terror of a cancer diagnosis to overwhelming relief and a newfound commitment to prioritizing his health without stigma.

General surgeons for Major Duct Excision

Explore experienced general surgeons who regularly perform major duct excision and provide pre- and post-operative care in India.

Dr. Prakasam Rangaswamy K
  • 31 Years Experience
  • General surgeon
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. Anand N S
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Sathish N
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Ramraj Vemala Nagendra Gupta
  • 15 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 600
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Vinay A V
  • 11 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Veeresh Annigeri
  • 9 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Hemanth Kumar P
  • 27 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Viswanath S
  • 24 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Karthikeyan S
  • 13 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. Aritra Ghosh
  • 16 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Manjunath Haridas
  • 13 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Madva Jayashankar
  • 37 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Sampath Kumar
  • 26 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Surinder Singh
  • 41 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Pankaj Kumar Garg
  • 11 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Rajinder
  • 10 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Sreeharsha M V
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

OPD-desk synced • Updated
Dr. Sridhar Pandit
  • 39 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Deepak Rohidekar
  • 37 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Raghunandan B V
  • 35 Years Experience
  • General surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated