Excessive Sweating Solutions: Surgical and Medication Options in Taiwan - Neurosurgery

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Hyperhidrosis


If you are experiencing excessive underarm sweating, which hospital offers surgical options for this condition, or can this symptom be treated with medication?

Jinjin, 20~29 year old female. Ask Date: 2002/11/21

Dr. Hong Xuyi reply Neurosurgery


Hello: In response to your inquiry, hyperhidrosis can be treated through endoscopic surgery, which can be performed by most neurosurgeons.
Medication is not effective in resolving this condition.

Reply Date: 2002/11/21

More Info


Excessive sweating, or hyperhidrosis, is a condition that can significantly impact an individual's quality of life. In Taiwan, there are several options available for managing this condition, both surgical and non-surgical.
For those seeking surgical solutions, one of the most common procedures is endoscopic thoracic sympathectomy (ETS). This minimally invasive surgery involves cutting or clamping the sympathetic nerves that control sweating in the underarms, hands, or face. While ETS can provide significant relief from excessive sweating, it is important to note that it may also lead to compensatory sweating in other areas of the body, which is a common side effect.
In Taiwan, many medical centers and hospitals offer ETS as a treatment option for hyperhidrosis. Major hospitals in urban areas, such as Taipei Medical University Hospital, National Taiwan University Hospital, and Chang Gung Memorial Hospital, typically have departments specializing in plastic surgery or thoracic surgery that can perform this procedure. It is advisable to consult with a qualified surgeon who has experience in treating hyperhidrosis to discuss the potential risks and benefits of the surgery.

In addition to surgical options, there are also several non-surgical treatments available for excessive sweating. Antiperspirants containing aluminum chloride are often the first line of treatment for localized hyperhidrosis. These over-the-counter or prescription-strength products can help block the sweat glands and reduce sweating.
Another option is the use of botulinum toxin injections (commonly known as Botox). This treatment involves injecting small amounts of botulinum toxin into the affected areas, which temporarily blocks the nerves that cause sweating. Botox has been shown to be effective for hyperhidrosis in the underarms, palms, and feet, and the effects can last for several months. Many dermatology clinics and aesthetic medicine centers in Taiwan offer Botox treatments for excessive sweating.

Oral medications, such as anticholinergics, can also be prescribed to help reduce sweating. These medications work by blocking the chemical signals that stimulate sweat production. However, they may come with side effects, including dry mouth and blurred vision, so it is essential to discuss these options with a healthcare provider.

For individuals who prefer a more holistic approach, lifestyle modifications can also help manage excessive sweating. Wearing loose-fitting, breathable clothing, using moisture-wicking fabrics, and practicing stress-reduction techniques can all contribute to minimizing symptoms.

In summary, if you are experiencing excessive sweating in Taiwan, there are multiple avenues to explore. Surgical options like ETS are available at major medical centers, while non-surgical treatments such as antiperspirants, Botox injections, and oral medications can also provide relief. It is crucial to consult with a healthcare professional to determine the most appropriate treatment plan based on your specific needs and circumstances.

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