Changes in the sexual functions of male patients and their partners after obesity surgery

Öncel, Halil Ferat; Salar, Remzi; Özbay, Engin; Elkan, Hasan

doi:10.1111/and.13873

Cited by 5 publications

(12 citation statements)

References 43 publications

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“…7 The domains of the IIEF, including erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction, were evaluated. ED was defined as normal (26)(27)(28)(29)(30) or abnormal (≤25). Additionally, the Male Sexual Health Questionnaire (MSHQ-4) was used to assess ejaculatory dysfunction.…”

Section: Assessment Of Sexual Functionmentioning

confidence: 99%

“…There were 31 (54.4%) male patients and 26 (45.6%) female patients in the study. The median age of the patients was 34 years (28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38) and the median preoperative BMI was 49.93 (44.92-52.59). A total of 28 (49%) patients were smokers and 5 (10%) patients had alcohol consumption in their history.…”

Section: Patient Demographicsmentioning

confidence: 99%

“…There is a dearth of studies in the literature that evaluate partners' sexual functions after bariatric surgery. 28 The change in sexual functions due to the diseases of the patients affects their partners' sexual functions in a good or bad way. 28,29 In the study conducted for larynx cancer and their partners.…”

Section: Detection Of Covid-19 In the Male Reproductive Tractmentioning

confidence: 99%

“…28 The change in sexual functions due to the diseases of the patients affects their partners' sexual functions in a good or bad way. 28,29 In the study conducted for larynx cancer and their partners. All sexual scores of the partners were affected negatively after the operation.…”

Section: Detection Of Covid-19 In the Male Reproductive Tractmentioning

confidence: 99%

“…However, the results are controversial. For example, some researchers have reported that SARS-CoV-2 was not detected in the male reproductive tract, [25][26][27][28][29][30][31][32][33][34] while others reported that SARS-CoV-2 RNA was found in the semen or testes of COVID-19 patients. 35,36 There are also unknown factors regarding COVID-19 and male reproduction.…”

Section: Introductionmentioning

confidence: 99%

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Bariatric surgery has positive effects on patients’ and their partners’ sexual function: A prospective study

et al. 2021

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Obesity is a serious disease with an increasing incidence worldwide.The World Health Organization reports that approximately 4 million people die from obesity-related ailments each year. Obesity has been associated with severe conditions that cause mortality, such as diabetes, coronary artery disease, hypertension, and sleep apnea syndrome. 1 Notably, the severity of obesity also affects the diseases that are associated with it. Bariatric surgery has been wellestablished as an effective strategy for controlling the morbid obesity that accompanies conditions such as diabetes, obstructive sleep apnea, and coronary disease. 2 The rate of erectile dysfunction (ED) increases by 50% in men with obesity. 3 Abnormal sex hormones, endothelial damage, dislike of one's own appearance, anxiety, and depression play key roles in the incidence of ED in these patients. 4,5 Recent studies

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Section: Assessment Of Sexual Functionmentioning

confidence: 99%

Section: Patient Demographicsmentioning

confidence: 99%

Section: Detection Of Covid-19 In the Male Reproductive Tractmentioning

confidence: 99%

Section: Detection Of Covid-19 In the Male Reproductive Tractmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bariatric surgery has positive effects on patients’ and their partners’ sexual function: A prospective study

et al. 2021

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Influence of Bariatric Surgery on Erectile Dysfunction—a Systematic Review and Meta-Analysis

et al. 2023

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Introduction Obesity is associated with a higher prevalence of various comorbidities including erectile dysfunction (ED). Bariatric surgery leads to weight loss and remission of weight-related diseases. The exact influence of bariatric treatment on ED is yet to be established; however, the number of papers on the subject is growing. Methodology A systematic review with meta-analysis comparing erectile dysfunction before and after surgery was conducted according to PRISMA guidelines with a literature search performed in June 2022. Inclusion criteria involved (1) ED assessment using the International International Index of Erectile Function (IIEF) and (2) longitudinal study design. Secondary endpoints involved hormonal changes and specific fields of IIEF. Results An initial search yielded 878 records. Fourteen studies were included in the meta-analysis involving 508 patients. The quality of analyzed studies was moderate. Analysis showed significant differences in IIEF before and after surgery (Std. MD = 1.19, 95% CI 0.72 to 1.66, p<0.0001). Testosterone after surgery is higher by 156.32 pg/ml (95% CI 84.78 to 227.86, p<0.0001). There were differences in erectile function (MD:4.86, p < 0.0001), desire (MD: 1.21, p < 0.0001), intercourse satisfaction (MD: 2.16, p < 0.0001), and overall satisfaction (MD: 1.21, p = 0.003). There were no differences in terms of orgasms (MD: 0.65, p = 0.06). Conclusion There are differences in ED before and after bariatric surgery. Patients achieve 19% more in the IIEF questionnaire showing improvement. Further studies, including multivariate regression models on large cohorts, are required to determine whether the surgery is an independent factor in alleviating ED. Graphical Abstract

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Meta‐analysis and construction of simple‐to‐use nomograms for approximating testosterone levels gained from weight loss in obese men

et al. 2023

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BackgroundObesity‐induced hypogonadism, which manifests as erectile dysfunction and a lack of libido, is a less visible and under‐recognized obesity‐related disorder in men.ObjectiveWe examined the impact of weight loss on total (TT) and free testosterone (FT) levels, and constructed nomograms to provide an easy‐to‐use visual aid for clinicians.Materials and methodsMeta‐analysis was conducted using RevMan (v5.3) and expressed in standardized mean differences (SMD) for testosterone. Parallel‐scale nomograms were constructed from baseline and target body mass index values to estimate the gain in testosterone.ResultsIn total, 44 studies were included, comprising 1,774 participants and 2,159 datasets, as some studies included several datasets at different time points. Weight loss was controlled by low calorie diet (LCD) in 19 studies (735 participants, 988 datasets), by bariatric surgery (BS) in 26 studies (1,039 participants, 1,171 datasets), and by both in one study. The median follow‐up was 26 weeks (interquartile range = 12–52). The range of baseline mean age was 21–68 yr, BMI: 26.2–71.2 kg/m2, TT: 7–20.2 nmol/L and FT: 140–583 pmol/L. TT levels increased after weight loss by LCD: SMD (95%CI) = 2.5 nmol/L (1.9–3.1) and by BS: SMD = 7.2 nmol/L (6.0–8.4); the combined TT gain was 4.8 nmol/L (3.9–5.6). FT levels increased after weight reduction by LCD: SMD = 19.9 pmol/L (7.3–32.5) and by BS: SMD = 58.0 pmol/L (44.3–71.7); the combined gain was 42.2 pmol/L (31.4–52.9). Greater amounts of total and free testosterone could be gained by weight loss in men with higher baseline BMI, or lower levels of SHBG, TT and FT, while gain in TT was relatively greater in older and FT in younger age. Age‐stratified nomograms revealed that compared to older men (> 40 yr), younger men (≤ 40 yr) gained less TT but more FT for a given weight loss.Discussion and conclusionBoth TT and FT levels increased after weight loss, relatively greater with higher baseline BMI, or lower levels of SHBG, TT and FT. Nomograms constructed from a large number of participants with a wide range of BMI and testosterone values provide an evidence‐based and simple‐to‐use tool in clinical practice.

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Changes in the sexual functions of male patients and their partners after obesity surgery

Cited by 5 publications

References 43 publications

Bariatric surgery has positive effects on patients’ and their partners’ sexual function: A prospective study

Bariatric surgery has positive effects on patients’ and their partners’ sexual function: A prospective study

Influence of Bariatric Surgery on Erectile Dysfunction—a Systematic Review and Meta-Analysis

Meta‐analysis and construction of simple‐to‐use nomograms for approximating testosterone levels gained from weight loss in obese men

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