Sivaneswaran Lechmiannandan1, Mayurran Panirselvam2, Prema Muninathan3, Narwani Hussin3, Reynu Rajan2, Hatta Sidi4, Nik Ritza Kosai2, C Rajkumar Vinayak5. 1. Department of Urology, Hospital Pulau Pinang, Jalan Residensi, 10990, Georgetown, Penang, Malaysia. smartsiv@hotmail.com. 2. Minimally Invasive, Upper Gastrointestinal and Bariatric Surgery Unit, Department of Surgery, Faculty of Medicine, Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, 56000, Kuala Lumpur, Malaysia. 3. Clinical Research Centre, Hospital Taiping, Jalan Taming Sari, 34000, Taiping, Perak, Malaysia. 4. Department of Psychiatry, Faculty of Medicine, Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, 56000, Kuala Lumpur, Malaysia. 5. Bariatric Surgery Unit, Department of Surgery, Hospital Taiping, Jalan Taming Sari, 34000, Taiping, Perak, Malaysia.
Abstract
INTRODUCTION: Female sexual dysfunction (FSD) among the obese women is often under diagnosed and ignored especially in Malaysia, a nation of conservative multiethnic society. There are only a few studies on FSD resolution post-bariatric surgery. The objective was to identify the rate and resolution or improvement of FSD, among obese multiethnic Malaysian women post-bariatric surgery. MATERIAL AND METHODS: This is a prospective study of women undergoing bariatric surgery, between May 2017 and April 2018. FSD was diagnosed using the Malay version of Female Sexual Function Index (MVFSFI) questionnaire. Patients filled up the questionnaire before and 6 months after surgery. Association between BMI reduction and FSFI score improvement was measured using Fisher's exact test. Outcomes between types of surgery (sleeve gastrectomy and gastric bypass) was compared. RESULTS: Fifty-two women completed the study. The mean age was 38.77 ± 6.7. There were 44 (84.6%) Malay patients, 7 (13.5%) Indian patients, and 1 (1.9%) Chinese patient. There was a significant reduction in mean BMI, 39.89 ± 6.9 pre-surgery to 30.32 ± 5.4 post-surgery (p value < 0.001). The rate of FSD among the obese is 75.0% pre-surgery compared to 36.0% post-surgery. There was a significant improvement in mean FSFI score pre- and post-surgery: 18.73 and 25.93 respectively and in each of all 6 domains (p value < 0.001). There was a significant association between BMI reduction and improvement in FSFI score (p = 0.019). There was no difference in outcomes between types of surgery. CONCLUSION: FSD is highly prevalent among the obese multiethnic Malaysian women. Bariatric surgery has proven benefit in resolving FSD across all sexual domains and should be considered as a management option in this group of women.
INTRODUCTION:Female sexual dysfunction (FSD) among the obesewomen is often under diagnosed and ignored especially in Malaysia, a nation of conservative multiethnic society. There are only a few studies on FSD resolution post-bariatric surgery. The objective was to identify the rate and resolution or improvement of FSD, among obese multiethnic Malaysian women post-bariatric surgery. MATERIAL AND METHODS: This is a prospective study of women undergoing bariatric surgery, between May 2017 and April 2018. FSD was diagnosed using the Malay version of Female Sexual Function Index (MVFSFI) questionnaire. Patients filled up the questionnaire before and 6 months after surgery. Association between BMI reduction and FSFI score improvement was measured using Fisher's exact test. Outcomes between types of surgery (sleeve gastrectomy and gastric bypass) was compared. RESULTS: Fifty-two women completed the study. The mean age was 38.77 ± 6.7. There were 44 (84.6%) Malay patients, 7 (13.5%) Indian patients, and 1 (1.9%) Chinese patient. There was a significant reduction in mean BMI, 39.89 ± 6.9 pre-surgery to 30.32 ± 5.4 post-surgery (p value < 0.001). The rate of FSD among the obese is 75.0% pre-surgery compared to 36.0% post-surgery. There was a significant improvement in mean FSFI score pre- and post-surgery: 18.73 and 25.93 respectively and in each of all 6 domains (p value < 0.001). There was a significant association between BMI reduction and improvement in FSFI score (p = 0.019). There was no difference in outcomes between types of surgery. CONCLUSION: FSD is highly prevalent among the obese multiethnic Malaysian women. Bariatric surgery has proven benefit in resolving FSD across all sexual domains and should be considered as a management option in this group of women.
Entities:
Keywords:
Bariatric surgery; Female; Female sexual function index; Malay version female sexual function index; Sexual dysfunction; Women
Authors: Dale S Bond; Rena R Wing; Sivamainthan Vithiananthan; Harry C Sax; G Dean Roye; Beth A Ryder; Dieter Pohl; Jeannine Giovanni Journal: Surg Obes Relat Dis Date: 2010-06-04 Impact factor: 4.734
Authors: Peter N Benotti; G Craig Wood; David J Carey; Vishal C Mehra; Tooraj Mirshahi; Michelle R Lent; Anthony T Petrick; Christopher Still; Glenn S Gerhard; Annemarie G Hirsch Journal: J Am Heart Assoc Date: 2017-05-23 Impact factor: 5.501