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Early Effect of Metabolic Surgery on Erectile Function and Ejaculation: a Pilot Study of Obese Men with Type 2 Diabetes Mellitus

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Abstract

Purpose

Majority of men with type 2 diabetes mellitus (T2DM) have been reported to experience erectile dysfunction (ED) in a lifetime. The aim of our study was to prospectively evaluate the postoperative condition of ED and premature ejaculation (PE) in men who underwent metabolic surgery for the treatment of T2DM.

Materials and Methods

A total of 36 sexually active male individuals with T2DM who were applied for metabolic surgery were given two different questionnaire forms prior to and 6 months after the surgery. Patients filled the International Index of Erectile Function (IIEF) and the Premature Ejaculation Profile (PEP) questionnaires before and 6 months after the surgery. The BMI, fasting blood glucose (FBG), and glycated hemoglobin (HbA1c) concentrations were also measured prior to the surgery and on follow-up points of postoperative first, third, and sixth months.

Results

Erectile function (EF) and overall satisfaction domains of the IIEF questionnaire increased significantly after the surgery in the patient groups irrespective of the previous ED severity (p < 0.001). There were significant improvements of the PEP interpersonal difficulty related to ejaculation score and HbA1c levels in the severe/moderate EF group and IIEF EF, PEP interpersonal difficulty related to ejaculation domains, and HbA1c levels of mild to moderate/mild/no ED group after the metabolic surgery.

Conclusion

Metabolic surgery could improve erectile and ejaculatory function scores of obese patients with T2DM.

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Authors and Affiliations

  1. Department of Health Sciences, Bilgi University, Istanbul, Turkey

    Fatih Can Karaca

  2. Vocational School of Health Sciences, Nişantaşı University, Istanbul, Turkey

    Tuncay Taş

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  1. Fatih Can Karaca
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  2. Tuncay Taş
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Correspondence to Fatih Can Karaca.

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Informed consent was obtained from all individual participants included in the study.

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Karaca, F.C., Taş, T. Early Effect of Metabolic Surgery on Erectile Function and Ejaculation: a Pilot Study of Obese Men with Type 2 Diabetes Mellitus. OBES SURG 30, 4768–4773 (2020). https://doi.org/10.1007/s11695-020-04879-5

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  • DOI: https://doi.org/10.1007/s11695-020-04879-5

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