Male Sexual Function before and after Bariatric Surgery.xlsx

Abstract

Background
The prevalence of male sexual dysfunction in
patients after bariatric surgery is not well described.  The aim of the study is to compare the prevalence of erectile
dysfunction (ED) and sexual quality of life after surgical weight loss with
controls seeking bariatric surgery.

Aim
The aim of the study is to compare male
sexual function and sexual quality of life after surgical weight loss with
controls seeking bariatric surgery.

Materials
and Methods International Index of Erectile Function and
Sexual Quality of Life–Male (SQoL-M) questionnaires were administered by e-mail
to 152 men who had undergone weight-loss surgery. The control group consisted
of 44 men who completed the questionnaires during their preoperative
evaluation.

Results 56% of men in the preoperative and
20% of men in the postoperative group reported erectile dysfunction (ED) [OR 5.1; 95% CI: 1.6 – 16.0, p=0.005].
 The median
(Q1, Q3) total IIEF score did not revealed significant difference between the preoperative (62.0
[37.5, 66.5]) and postoperative groups (67.0
[57.0, 70.0]).  However, median scores in domains of erectile
function (EF), sexual desire (SD), and overall satisfaction (OS) were
significantly higher in the postoperative group. The median SQoL–M was
significantly higher (81.8 [51.5, 89.4] vs 88.6 [84.8, 90.9]; p<0.05) in the
postoperative group.

Conclusions
A lower prevalence of erectile dysfunction and better
sexual quality of life was observed in the patients after surgical weight loss.
The improvement in male sexual function may be considered as an advantage of bariatric
surgery.