Asnat Groutz1, David Gordon1, Pinhas Schachter2, Hadar Amir1, Mordechai Shimonov2. 1. Sackler Faculty of Medicine, Urogynecology and Pelvic Floor Unit, Tel Aviv Sourasky Medical Center, Lis Maternity Hospital, Tel Aviv University, Tel Aviv, Israel. 2. Sackler Faculty of Medicine, Department of Surgery, E. Wolfson Medical Center, Tel Aviv University, Tel Aviv, Israel.
Abstract
AIM: To investigate the effect of bariatric surgery on male lower urinary tract symptoms (LUTS) and sexual function. METHODS: Fifty-five consecutive obese men who underwent a laparoscopic sleeve gastrectomy were prospectively enrolled. Two validated questionnaires, the International Prostate Symptoms Score (IPSS) and the International Index of Erectile Function (IIEF) were used to assess LUTS and sexual function, before and 3 months after surgery. Fifty-three men (mean age 39 ± 12.5 years) completed all pre and postoperative questionnaires. Mean body mass index (BMI) before and 3 months after surgery was 42.8 ± 5.3 and 31.3 ± 5.4 kg/m2 ; respectively. RESULTS: Preoperatively, 41 (77%) men (mean age 40 ± 12.9, mean BMI 42.2 ± 5 kg/m2 ) had some degree of LUTS and 39 (74%) men (mean age 40.7 ± 12.4, mean BMI 42.8 ± 5.6 kg/m2 ) were sexually active. Postoperatively, the total IPSS score decreased significantly (5.5 ± 4.4 vs. 2.7 ± 2.6; P < 0.001), however this change was due to improvement in storage phase LUTS, measured by questions 2, 4, and 7 of the IPSS questionnaire. No statistically significant changes of voiding phase LUTS, measured by questions 1, 3, 5, 6 of the IPSS, were observed. Of the various aspects of sexual dysfunction, only erectile function, measured by questions 1-5 and 15 of the IIEF questionnaire was significantly improved (22.7 ± 7.2 vs. 26.1 ± 6.5, P = 0.02). Postoperative overall intercourse satisfaction (9.5 ± 4.2 vs. 11.5 ± 3, P = 0.01) and overall satisfaction (7.9 ± 2.5 vs. 8.9 ± 1.3, P = 0.02) were significantly improved as well. CONCLUSION: Male storage phase LUTS and erectile function were significantly and rapidly improved following bariatric surgery. Larger and long-term studies are required to investigate these apparently beneficial effects. Neurourol. Urodynam. 36:636-639, 2017.
AIM: To investigate the effect of bariatric surgery on male lower urinary tract symptoms (LUTS) and sexual function. METHODS: Fifty-five consecutive obesemen who underwent a laparoscopic sleeve gastrectomy were prospectively enrolled. Two validated questionnaires, the International Prostate Symptoms Score (IPSS) and the International Index of Erectile Function (IIEF) were used to assess LUTS and sexual function, before and 3 months after surgery. Fifty-three men (mean age 39 ± 12.5 years) completed all pre and postoperative questionnaires. Mean body mass index (BMI) before and 3 months after surgery was 42.8 ± 5.3 and 31.3 ± 5.4 kg/m2 ; respectively. RESULTS: Preoperatively, 41 (77%) men (mean age 40 ± 12.9, mean BMI 42.2 ± 5 kg/m2 ) had some degree of LUTS and 39 (74%) men (mean age 40.7 ± 12.4, mean BMI 42.8 ± 5.6 kg/m2 ) were sexually active. Postoperatively, the total IPSS score decreased significantly (5.5 ± 4.4 vs. 2.7 ± 2.6; P < 0.001), however this change was due to improvement in storage phase LUTS, measured by questions 2, 4, and 7 of the IPSS questionnaire. No statistically significant changes of voiding phase LUTS, measured by questions 1, 3, 5, 6 of the IPSS, were observed. Of the various aspects of sexual dysfunction, only erectile function, measured by questions 1-5 and 15 of the IIEF questionnaire was significantly improved (22.7 ± 7.2 vs. 26.1 ± 6.5, P = 0.02). Postoperative overall intercourse satisfaction (9.5 ± 4.2 vs. 11.5 ± 3, P = 0.01) and overall satisfaction (7.9 ± 2.5 vs. 8.9 ± 1.3, P = 0.02) were significantly improved as well. CONCLUSION: Male storage phase LUTS and erectile function were significantly and rapidly improved following bariatric surgery. Larger and long-term studies are required to investigate these apparently beneficial effects. Neurourol. Urodynam. 36:636-639, 2017.
Authors: Michał R Janik; Ilona Bielecka; Andrzej Kwiatkowski; Piotr E Janik; Thomas Drazba; Jan Bujok; Edward Stanowski; Krzysztof Paśnik Journal: Wideochir Inne Tech Maloinwazyjne Date: 2016-09-02 Impact factor: 1.195
Authors: Hossam S El-Tholoth; Abdalatiff K Bedaiwi; Abdulrahman Binjawhar; Ahmed A Almulhem; Khaled K Bedaiwi; Haider Alshurafa; Tarek Alzahrani; Ruyof K Alhussein; Abdulaziz K Alhussein; Mussa Alnumi Journal: Urol Ann Date: 2021-03-04