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

Glina, Felipe Placco Araújo; Barboza, Júlia Walter de Freitas; Nunes, Victor Moisés; Glina, Sidney; Bernardo, Wanderley Marques

doi:10.1016/j.sxmr.2017.03.008

Cited by 29 publications

(25 citation statements)

References 24 publications

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“…A meta-analysis performed by Glina et al 19 on changes in the quality of sexual life of patients submitted to bariatric surgery, regardless of the technique, showed a substantial improvement in the erectile and sexual function of these patients after the surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

Association between Erectile Dysfunction and Obesity

Heitor¹,

Gullo²,

Godoy³

et al. 2017

ijSciences

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There are several risk factors associated with erectile dysfunction (ED) and so it is important to identify them to improve the therapeutic approach. The objective of this study was to evaluate the association between obesity and ED. In this prospective cross-sectional observational study, the IIEF questionnaire was used to evaluate erectile function. The total sample of 38 subjects was divided into two groups; 23 obese individuals (BMI ≥30) with a mean BMI of 46.07, and 15 non-obese subjects (BMI <30) with a mean BMI of 25.9. Some degree of ED was evidenced in 52.17% of the obese and in 6.6% of the non-obese subjects. Statistical significance was found between the two groups using logistic regression. Thus, obesity is a risk factor for ED.

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Section: Discussionmentioning

confidence: 99%

Association between Erectile Dysfunction and Obesity

Heitor¹,

Gullo²,

Godoy³

et al. 2017

ijSciences

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“…Though there exists a meta-analysis that investigate the impact of bariatric surgery on erectile function. Glina et al [33] only use the IIEF score to analysis and their including studies are 7 while our meta-analysis use 2 score indexes and the enrolled studies are 11.…”

Section: Discussionmentioning

confidence: 99%

“…The above articles all used the IIEF as the index to measure the sexual function. However, the articles [33,34]…”

Section: Meta-analysismentioning

confidence: 99%

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

Liu

Cao

Ren

et al. 2019

Preprint

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Background Controversial remains despite several studies have discussed the role of bariatric surgery for ameliorating male’s sexual function. This study aims to evaluate the efficacy of bariatric surgery in promoting male`s erectile function. Methods We performed a systematic review according to PubMed, EMbase, The Cochrane Library, CNKI and Clinical Trails.gov searching for eligible studies and conducted a meta-analysis to compare the International Index of Erectile Function (IIEF) score or Brief Male Sexual Function Inventory (BSFI) score preoperatively and postoperatively. Results 11 articles were included in this study. The meta-analysis showed bariatric surgery was associated with significantly 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). Conclusions To our knowledge, although the mechanism how Bariatric surgery helps improving male`s erectile function is not well interpreted yet, it`s supported by our results that bariatric surgery may be effective in sexual function promoting for obese individuals.

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“…To our knowledge, this is the first meta-analysis to evaluate the effect of bariatric surgery on male's sexual function with both IIEF scores and BSFI scores enrolled for comparison. Though a previous meta-analysis, by Glina et al [34], was also performed to assess the effect of bariatric surgery on male's erectile function change, they only discussed the IIEF change and only 7 studies were enrolled for analysis.…”

Section: Disscussionmentioning

confidence: 99%

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

et al. 2020

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Background Controversy 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. Methods PubMed, 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. Results Eleven 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. Conclusions This systematic review and meta-analysis indicated that bariatric surgery could be effective in promoting males’s sexual function for obese individuals.

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

Cited by 29 publications

References 24 publications

Association between Erectile Dysfunction and Obesity

Association between Erectile Dysfunction and Obesity

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

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

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