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Sexual Dysfunction Is Common In The Morbidly Obese Male And Improves After Gastric Bypass Surgery.

Ramsey M. Dallal, Arthur Chernoff, Michael O'Leary, Jason Alan Smith, Justin D. Braverman, Brian B. Quebbemann
Published 2008 · Medicine
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BACKGROUND There has been limited research examining the mechanisms and epidemiology of sexual dysfunction in the morbidly obese. Our objectives were to measure sexual function in the morbidly obese man before and after substantial weight loss induced by gastric bypass surgery. STUDY DESIGN All male patients in undergoing gastric bypass completed the Brief Male Sexual Function Inventory (BSFI) before and after operation. BSFI scores were also compared with published normative controls and analyzed for predictors of change. Mixed models were created to control for age, diabetes, and hypertension. RESULTS Ninety-seven men with a mean age of 48 years (range 19 to 75 years) and mean body mass index of 51 kg/m(2) (range 36 to 89 kg/m(2)) underwent gastric bypass surgery. On average, preoperative morbidly obese patients reported a substantially greater degree of sexual dysfunction than did published reference controls in all domains, p < 0.001. Increasing weight independently predicted lower domain scores. Mean postoperative followup length was 19 months (range 6 to 45 months). On average, BSFI scores improved from preoperative levels by bivariate analysis in all categories (means+/-SE): sexual drive (range 0 to 8), 3.9+/-0.3 to 5.3+/-0.3; erectile function (range 0 to 12), 6.4+/-0.5 to 8.9+/-0.5; ejaculatory function (range 0 to 8), 4.9+/-0.4 to 6.3+/-0.4; problem assessment (range 0 to 12), 7.4+/-0.5 to 9.6+/-0.5; and sexual satisfaction (range 0 to 4), 1.6+/-0.2 to 2.3+/-0.2; all p < 0.01. On multivariable analysis, the amount of weight loss independently predicted the degree of improvement in all BSFI domains, p < 0.05. After an average 67% excess weight loss, BSFI scores in postoperative gastric bypass patients approached those of the reference controls. CONCLUSIONS Men with morbid obesity commonly suffer from profound, but reversible sexual dysfunction.



This paper is referenced by
10.1007/978-3-319-08272-1_17
Lifestyle Modification in Erectile Dysfunction and Hypertension
Margus Viigimaa (2015)
10.1097/MOU.0000000000000426
Metabolic syndrome and sexual dysfunction
Michael L. Schulster (2017)
10.1100/tsw.2009.79
Obesity and Erectile Dysfunction: Is Androgen Deficiency the Common Link?
Robert J. Feeley (2009)
10.1001/jamasurg.2013.5022
Changes in sexual functioning and sex hormone levels in women following bariatric surgery.
David B Sarwer (2014)
10.1016/J.CIRENG.2017.11.001
Sexual satisfaction following bariatric surgery: A prospective exploratory study.
Manuel Ferrer-Márquez (2017)
Bariatric Surgery Improves Sexual Function in Obese Patients.
David Goitein (2015)
10.1016/j.soard.2014.12.014
Sexual functioning and sex hormones in men who underwent bariatric surgery.
David B Sarwer (2015)
10.1097/01.ogx.0000445777.60167.b5
Changes in Sexual Functioning and Sex Hormone Levels in Women Following Bariatric Surgery
David B Sarwer (2014)
10.1007/978-3-319-39448-0_3
Preoperative Assessment and Intervention: Optimizing Outcomes for Early Return of Erectile Function
Weil R. Lai (2016)
10.1001/jamasurg.2018.1162
Changes in Sexual Functioning in Women and Men in the 5 Years After Bariatric Surgery.
Kristine J. Steffen (2019)
10.3389/fendo.2020.00408
Male Obesity Associated Gonadal Dysfunction and the Role of Bariatric Surgery
Sana Sultan (2020)
Importância do Exercício Físico no Tratamento da Disfunção Erétil Importance of Physical Exercise in the Treatment of Erectile Dysfunction
Cícero Augusto de Souza (2011)
10.1002/erv.2412
Quality of Life, Body Image and Sexual Functioning in Bariatric Surgery Patients.
David B Sarwer (2015)
10.1007/s11695-012-0734-9
Hypogonadotropic Hypogonadism in Morbidly Obese Males Is Reversed After Bariatric Surgery
Silvia Escalada Pellitero (2012)
Urogenital function in morbidly obese men following bariatric surgery
M. Aleid (2016)
10.1007/s13679-018-0319-6
Obesity and Sexual Functioning
David B Sarwer (2018)
10.1007/s00464-013-2890-y
Weight loss is a major contributor to improved sexual function after bariatric surgery
Mireia Mora (2013)
10.1016/j.jsxm.2016.12.004
Early Effect of Bariatric Surgery on Urogenital Function in Morbidly Obese Men.
M. Aleid (2017)
10.1016/J.CIRESP.2017.08.013
Satisfacción sexual tras cirugía bariátrica: estudio observacional prospectivo
Manuel Ferrer-Márquez (2017)
10.1016/j.juro.2009.07.089
Diabetes, obesity and erectile dysfunction: field overview and research priorities.
Kanchan Chitaley (2009)
10.1007/s11695-018-3557-5
Impact of Bariatric Surgery on Male Sex Hormones and Sperm Quality: a Systematic Review and Meta-Analysis
Yung Lee (2018)
10.1016/j.sxmr.2017.03.008
What Is the Impact of Bariatric Surgery on Erectile Function? A Systematic Review and Meta-Analysis.
Felipe Placco Araujo Glina (2017)
10.1016/B978-0-12-800872-0.00010-X
Fertility and Testosterone Improvement in Male Patients After Bariatric Surgery
Michaela Luconi (2015)
10.1371/journal.pone.0104042
Bariatric Surgery Improves the Cavernosal Neuronal, Vasorelaxation, and Contraction Mechanisms for Erectile Dysfunction As Result of Amelioration of Glucose Homeostasis in a Diabetic Rat Model
Yong Sun Choi (2014)
Importance of physical exercise in the treatment of erectile dysfunction
Cícero Augusto de Souza (2011)
Mechanisms for T 2 DM Remission After BS
Isabel Cornejo-Pareja (2019)
10.1016/j.ciresp.2017.08.013
Sexual satisfaction following bariatric surgery: A prospective exploratory study.
Manuel Ferrer-Márquez (2017)
10.4103/1008-682X.137687
Lifestyle modifications and erectile dysfunction: what can be expected?
Maria Ida Maiorino (2015)
10.14814/phy2.14111
Endocrine implications of bariatric surgery: a review on the intersection between incretins, bone, and sex hormones
Isabel Casimiro (2019)
10.1016/j.esxm.2019.06.003
Effect of Bariatric Surgery on Male Sexual Function: A Meta-Analysis and Systematic Review
Jiangnan Xu (2019)
10.1055/S-0038-1656556
Evaluación de la función sexual en pacientes con obesidad, antes y después de la cirugía bariátrica
José Miguel Silva (2019)
10.1038/oby.2012.104
Sexual functioning and obesity: a review.
Ronette L. Kolotkin (2012)
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