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

BMC Urology

Qin Zhang¹  Zheyu Cheng²  Qiang Wei²  Dehong Cao²  Shengzhuo Liu²  Zhengju Ren²  Bo Cheng²  Xiaonan Zheng²  Jianzhong Ai²  Liangren Liu²  Jinze Li³  Lei Peng³ 

[1] Department of Radiology, Chongqing Traditional Chinese Medicine Hospital, Chongqing, China;Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China;DepartmentofUrology, Nanchong CentralHospital, The Second ClinicalMedical College, NorthSichuanMedicalCollege (University), Nanchong, Sichuan, China;

关键词: Bariatric surgery;    Obesity;    Erectile function;    Sexual function;    Sex hormone;    Meta-analysis;   

DOI  :  10.1186/s12894-020-00707-1

来源: Springer

【 摘 要 】

BackgroundControversy remains despite several studies have discussed the role of bariatric surgery in improving male’s sexual function. This study aims to evaluate the efficacy of bariatric surgery in promoting male’s erectile function.MethodsPubMed, EMbase, The Cochrane Library, CNKI and Clinical Trails.gov were searched from database inception to May 2019. The language of publication was limited in English. The International Index of Erectile Function (IIEF) score and Brief Male Sexual Function Inventory (BSFI) score were set as the primary outcome.ResultsEleven studies with a total of 370 patients were enrolled in this meta-analysis. The results showed significant improvement in the IIEF score (erectile function: MD = 5.33, 95% CI 4.12–6.54; intercourse satisfaction: MD = 2.57, 95% CI 1.19–3.94; orgasmic function: MD = 0.50, 95%CI 0.60–0.94; overall satisfaction: MD = 1.67, 95% CI 0.78–2.56; sexual desire: MD = 1.27, 95% CI 0.61–1.93; total erectile function: MD = 7.21, 95% CI 4.33–10.10) and the BSFI score (erection: MD =2.53, 95% CI 2.39–2.67; ejaculation: MD = 1.40, 95% CI 1.28–1.51; desire: MD =1.40, 95% CI 1.32–1.49; problem assessment: MD = 2.20, 95% CI 2.06–2.34; sexual satisfaction: MD = 0.70, 95% CI 0.60–0.76) in obese individuals after bariatric surgery.ConclusionsThis systematic review and meta-analysis indicated that bariatric surgery could be effective in promoting males’s sexual function for obese individuals.

【 授权许可】

CC BY