Literature DB >> 28526630

What Is the Impact of Bariatric Surgery on Erectile Function? A Systematic Review and Meta-Analysis.

Felipe Placco Araujo Glina1, Júlia Walter de Freitas Barboza1, Victor Moises Nunes1, Sidney Glina2, Wanderley Marques Bernardo3.   

Abstract

INTRODUCTION: Obesity is a worldwide public health issue that has severe psychological and social implications. Erectile dysfunction also is a prevalent clinical situation, and obesity is one of the primary risk factors for its development. AIM: To determine whether bariatric surgery can lessen erectile dysfunction in obese men because of evidence showing that weight loss in obese men contributes to decreasing erectile dysfunction and bariatric surgery contributes to significant weight loss.
METHODS: A search was conducted using Medline, LILACS, Cochrane, Scopus, CINAHL, Embase, Web of Science, Eric, and EBM up to April 13, 2016. The authors selected by title, abstract, and full text. Scottish Intercollegiate Guidelines Network checklists were used for comparative studies to show the limitations and biases of each article. RevMan 5.3 software from the Cochrane Library was used for meta-analyses. Results were demonstrated with forest plots. MAIN OUTCOME MEASURES: The outcome selected was resolution of erectile dysfunction, which was analyzed by improvement in the International Index of Erectile Function (IIEF) score.
RESULTS: Of 185 articles analyzed, 7 were selected for systematic review. Meta-analysis of two articles that evaluated erectile function showed a 5.66-point increase in the five-item IIEF score of patients who underwent bariatric surgery (95% CI = 7.88-3.45, I2 = 35%, P < .00001), demonstrating statistical significance. Meta-analysis of three articles showed a 4.10-point increase in the IIEF erectile function score of patients who underwent bariatric surgery (95% CI = 6.10-2.10, I2 = 0%, P < .0001), demonstrating statistical significance.
CONCLUSION: Bariatric surgery leads to an improvement of erectile function. Glina FPI, de Freitas Barboza JW, Nunes VM, et al. What Is the Impact of Bariatric Surgery on Erectile Function? A Systematic Review and Meta-Analysis. Sex Med Rev 2017;5:393-402.
Copyright © 2017 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.

Entities:  

Keywords:  Bariatric Surgery; Erectile Dysfunction; Male Sexual Dysfunction; Obesity; Risk Factors

Mesh:

Year:  2017        PMID: 28526630     DOI: 10.1016/j.sxmr.2017.03.008

Source DB:  PubMed          Journal:  Sex Med Rev        ISSN: 2050-0521


  9 in total

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Review 2.  Male Obesity Associated Gonadal Dysfunction and the Role of Bariatric Surgery.

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Review 4.  Male Obesity-related Secondary Hypogonadism - Pathophysiology, Clinical Implications and Management.

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5.  Prevalence of and risk factors for erectile dysfunction in young nondiabetic obese men: results from a regional study.

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6.  Decrease in Sperm Count After Bariatric Surgery: Case Reports.

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7.  Obesity Surgery Improves Hypogonadism and Sexual Function in Men without Effects in Sperm Quality.

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Review 8.  Adipose Tissue Dysfunction and Obesity-Related Male Hypogonadism.

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9.  The relationships between bariatric surgery and sexual function: current evidence based medicine.

Authors:  Shengzhuo Liu; Dehong Cao; Zhengju Ren; Jinze Li; Lei Peng; Qin Zhang; Bo Cheng; Zheyu Cheng; Jianzhong Ai; Xiaonan Zheng; Liangren Liu; Qiang Wei
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  9 in total

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