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Surgical Endoscopy

, Volume 27, Issue 9, pp 3197–3204 | Cite as

Weight loss is a major contributor to improved sexual function after bariatric surgery

  • Mireia MoraEmail author
  • Gloria Beatriz Aranda
  • Ana de Hollanda
  • Liliam Flores
  • Manel Puig-Domingo
  • Josep Vidal
Article

Abstract

Background

The relative contribution of anthropometric, hormonal, and metabolic changes after bariatric surgery (BS) on sexual function (SF) in severely obese subjects is not well established.

Methods

Prospective observational case series study of 39 men undergoing BS. SF was assessed by means of the international index of erectile function (IIEF) before and at 1 year after surgery. At the same time points, anthropometric (body mass index, waist circumference), hormonal (testosterone, sex hormone binding globulin, estradiol, gonadotropins, inhibin B, prolactin, leptin), and metabolic parameters (insulin sensitivity, C-reactive protein, lipid profile, hemoglobin A1c, presence of hypertension or sleep apnea) were assessed.

Results

BS was associated with marked weight loss (77.18 % excess weight loss), improved IIEF score (baseline: 54.85 ± 16.59, 1 year: 61.21 ± 14.10; p < 0.01), gonadal function (testosterone: baseline 256.36 ± 120.98, 1 year: 508.01 ± 161.90; p < 0.001), and improved metabolic profile. However, on multivariate regression analysis whereas changes in body mass index (beta: −0.677, p = 0.001), and baseline IIEF score (beta: −0.397, p = 0.023), were independent predictors of the changes in the IIEF score at 1 year after surgery, changes in hormonal and metabolic factors were not. Variables in the model accounted for 66 % of the postsurgical variation in the IIEF score. Similar results were found when the different IIEF-sexual domains were evaluated, except for intercourse satisfaction for which no independent predictor was identified.

Conclusions

Weight loss’s beneficial effects on SF occurring after BS are beyond the parallel improvement in gonadal and metabolic profiles.

Keywords

Bariatric surgery Erectile function Hypogonadism Morbid obesity Sexual function Testosterone 

Notes

Acknowledgments

The authors acknowledge Gemma Yago, Pilar Ara, Gloria Martín and Pilar Arahuete for technical help.

Disclosures

M. Mora, G. B. Aranda, A. de Hollanda, L. Flores, M. Puig-Domingo, and J. Vidal have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Mireia Mora
    • 1
    • 2
    Email author
  • Gloria Beatriz Aranda
    • 1
  • Ana de Hollanda
    • 1
  • Liliam Flores
    • 1
    • 2
  • Manel Puig-Domingo
    • 1
  • Josep Vidal
    • 1
    • 2
  1. 1.Department of Endocrinology and NutritionHospital Clínic of BarcelonaBarcelonaSpain
  2. 2.Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM)BarcelonaSpain

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