Early effect of bariatric surgery on urogenital function in morbidly obese men

Aleid, Maha and Muneer, Asif and Renshaw, Sara and George, Jason and Jenkinson, Andrew and Adamo, Marco and Elkalaawy, Mohamed and Batterham, Rachel and Ralph, David J and Hashemi, Majid and Cellek, Selim (2017) Early effect of bariatric surgery on urogenital function in morbidly obese men. Journal of Sexual Medicine. ISSN 1743-6095 (Accepted)

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Official URL: http://dx.doi.org/10.1016/j.jsxm.2016.12.004

Abstract

Introduction: Obesity is an independent risk factor for erectile dysfunction (ED) and lower urinary tract symptoms (LUTS). Bariatric surgery has been shown to improve erectile function and urinary symptoms in previous medium to long term studies (3-12 months post-operative follow up). The aim: is to investigate the early effect (1 month post-op) of bariatric surgery on ED and LUTS which has not previously been investigated. Methods: Morbidly obese men (BMI >35 kg/m2) undergoing bariatric surgery were asked to complete International Index of Erectile Function (IIEF) and International Prostate Symptom Score (IPSS) questionnaires before the surgery and 1, 3 and 6 months after the surgery. Main outcome measure: The influence of bariatric surgery on urogenital function, BMI, fasting blood glucose (FBG) and HbA1C were analysed using parametric and non-parametric tests for paired samples. Results: Out of 30 patients who have completed the study, 18 reported erectile dysfunction (ED; IIEF<25) and 14 reported moderate-severe LUTS (IPSS ≥8) before the operation. 12 patients had both ED and moderate-severe LUTS. IIEF, IPSS, BMI, percentage weight loss, FBG and HbA1c all improved significantly and rapidly after the bariatric surgery starting at the 1 month post-operative time point and continued to improve throughout the study in all patients with ED or moderate to severe LUTS. Conclusions: This is the first study showing improvement in erectile and urinary function within 1 month after the bariatric surgery; an effect that was in parallel with glycaemic improvement and weight loss.

Item Type: Journal Article
Keywords: bariatric surgery, erectile dysfunction, lower urinary tract symptoms
Faculty: Faculty of Medical Science
Depositing User: Prof Selim Cellek
Date Deposited: 17 Jan 2017 08:51
Last Modified: 11 Apr 2017 10:32
URI: http://arro.anglia.ac.uk/id/eprint/701403

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