2018, Number 3
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Cir Cir 2018; 86 (3)
Changes in the sexual health of obese patients after bariatric surgery
Pomares-Callejón MA, Ferrer-Márquez M, Solvas-Salmerón MJ
Language: Spanish
References: 29
Page: 255-260
PDF size: 179.98 Kb.
ABSTRACT
Introduction: The aims of the study were: 1) to assess sexual health patients severe/morbid obesity patients candidates for
bariatric surgery; and 2) to assess sexual health evolution after 12 months of surgery.
Method: Descriptive, prospective study
from February 2011 to June 2014. Sexual activity in men was valued through EVAS-H questionnaire and through FSM scale
on women (44 patients).
Results: During the basal study in men, a 21% of the sample showed sexual disfunction in different
dimensions, while a 43% showed problems with premature ejaculation. 12 months after surgery, global sexual activity was
improved significantly (p = 0,026). Approximately 70-89% of women presented no disturbance before surgery. No average
relevant changes were observed within the evolution (p › 0.05).
Conclusions: Morbid/severe obesity patients candidates to
bariatric surgery, show considerable alterations on diverse sexual health dimensions. After 12 months following bariatric surgery,
men’s sexual health appears to improve.
REFERENCES
González E. Obesity: etiologic and pathophysiological analysis. Endocrinol Nutr. 2013;60:17-24. (Consultado el 10 de enero de 2018.) Disponible en http //www sciencedirect.com/science/article/pii/S2173509313000081.
Cuesta AL, Sabán J. La obesidad como entidad pluripatológica. Epidemiología. Sistemas neurohormonales. En: Sabán J, editor. Madrid: Díaz de Santos; 2012. p. 246-52.
Carrobles J, Gámez M, Almendro C. Funcionamiento sexual, satisfacción sexual y bienestar psicológico y subjetivo en una muestra de mujeres españolas. An Psicol. 2011;27:27-34.
Kolotkin RL, Zunker C, Østbye T. Sexual functioning and obesity: a review. Obesity. 2012;20:2325-33.
Larsen SH, Wagner G, Heitmann BL. Sexual function and obesity. Int J Obes. 2007;31:1189-98.
Bajos N, Wellings K, Laborde C, Moreau C. Sexuality and obesity, a gender perspective: results from French national random probability survey of sexual behaviours. BMJ. 2010;340:c2573.
Carr D, Murphy LF, Batson HD, Springer KW. Bigger is not always better: the effect of obesity on sexual satisfaction and behavior of adult men in the United States. Men Masc. 2013;16:452-77.
Assimakopoulos K, Karaivazoglou K, Panayiotopoulos S, Hyphantis T, Iconomou G, Kalfarentzos F. Bariatric surgery is associated with reduced depressive symptoms and better sexual function in obese female patients: a one-year follow-up study. Obes Surg. 2011;21:362-6.
Efthymiou V, Hyphantis T, Karaivazoglou K, Gourzis P, Alexandrides TK, Kalfarentzos F, et al. The effect of bariatric surgery on patient HRQOL and sexual health during a 1-year postoperative period. Obes Surg. 2015;25:310-8.
Steffen KJ, King WC, White GE, Subak LL, Mitchell JE, Courcoulas AP, et al. Sexual functioning of men and women with severe obesity before bariatric surgery. Surg Obes Relat Dis. 2017;13:334-43.
Bond DS, Wing RR, Vithiananthan S, Sax HC, Roye GD, Ryder BA, et al. Significant resolution of female sexual dysfunction after bariatric surgery. Surg Obes Relat Dis. 2011;7:1-7.
Assimakopoulos K, Panayiotopoulos S, Iconomou G, Karaivazoglou K, Matzaroglou C, Vagenas K, et al. Assessing sexual function in obese women preparing for bariatric surgery. Obes Surg. 2006;16:1087-91.
Trischitta V. Relationship between obesity-related metabolic abnormalities and sexual function. J Endocrinol Invest. 2003;26 62-4.
Camps MA, Zervos E, Goode S, Rosemurgy AS. Impact of bariatric surgery on body image perception and sexuality in morbidly obese patients and their partners. Obes Surg. 1996;6:356-60.
Kinzl JF, Trefalt E, Fiala M, Hotter A, Biebl W, Aigner F. Partnership, sexuality, and sexual disorders in morbidly obese women: consequences of weight loss after gastric banding. Obes Surg. 2001;11:455-8.
Sarwer DB, Lavery M, Spitzer JC. A review of the relationships between extreme obesity, quality of life, and sexual function. Obes Surg. 2012;22:668-76.
Águila E, Sánchez L, Daza MT, La Calle P, Fernández I. Disfunciones sexuales en pacientes con DCA: estudio exploratorio descriptivo con el cuestionario EVAS-M y EVAS-H. Congreso Español de Sexología, V Encuentro Iberoamericano de Profesionales de la Sexología; 2010.
Sánchez F, Pérez M, Borrás JJ, Gómez O, Aznar J, Caballero A. Diseño y validación del Cuestionario de Función Sexual de la Mujer (FSM). Aten Primaria. 2004;34:286-92.
Fung MM, Bettencourt R, Barret-Connor E. Heart disease risk factors predict erectile dysfunction 25 years later: the Rancho Bernardo Study. J Am Coll Cardiol. 2004;43:1405-11.
Moreira ED, Bestane WJ, Bartolo EB, Fittipladi JA. Prevalence and determinants of erectile dysfunction in Santos, southeastern Brazil. Sao Paulo Med J. 2002;120:49-54.
Cheng JY, Ng EM. Body mass index, physical activity and erectile dysfunction: an U-shaped relationship from population-based study. Int J Obes. 2007;31:1571-8.
Han TS, Tajar A, O’Neill TW, Jiang M, Bartfai G, Boonen S, et al. Impaired quality of life and sexual function in overweight and obese men: the European Male Ageing Study. Eur J Endocrinol. 2011;164:1003-11.
Dallal RM, Chernoff A, O’Leary MP, Smith JA, Braverman JD, Quebbemann BB. Sexual dysfunction is common in the morbidly obese male and improves after gastric bypass surgery. J Am Coll Surg. 2008;207:859-64.
Janik MR, Bielecka I, Paśnik K, Kwiatkowski A, Podgórska L. Female sexual function before and after bariatric surgery: a cross-sectional study and review of literature. Obes Surg. 2015;25:1511-7.
Goitein D, Zendel A, Segev L, Feigin A, Zippel D. Bariatric surgery improves sexual function in obese patients. IMAJ. 2015;17:616-9.
Jiménez C, Macías P, Pérez R, Cano A, Domínguez E. Impacto de la cirugía bariátrica en la función sexual de la mujer. BMI. 2014;4.5.8:590- 5. (Consultado el 20 de enero de 2018.) Disponible en: http://bmilatina. com/index.php/bmi/article/view/239
Lobató ML, Boccara MA, Germano D, Roberto P. Bariatric surgery: impact on sexuality of the obese person. Rev Col Bras Cir. 2014;41:412-20.
Esposito K, Ciotola M, Giugliano F, Bisogni C, Schisano B, Autorino R, et al. Association of body weight with sexual function in women. Int J Impot Res. 2007;19:353-7.
Groutz A, Gordon D, Schachter P, Amir H, Shimonov M. Effects of bariatric surgery on male lower urinary tract symptoms and sexual function. Neurourol Urodyn. 2017;36 636-9.