The Effects of Laparoscopic Adjustable Gastric Band Procedure on the Sexual Functioning
Objectives: We aimed to investigate the effects of bariatric surgery on the sexual functions in both genders by comparing Female Sexual Function Indexes (FSFI) and International Index of Erectile Function (IIEF) scores with the physical, hormonal and biochemical findings after the Laparoscopic Adjustable Gastric Band (LAGB) procedure of morbidly obese male and female patients. Methods: Obese patients between 18 and 65 years of age who underwent bariatric surgery and continued their followup visits were included in the study. At the postoperative 6th month, FSFI and IIEF surveys were performed to the LAGB patients. Biochemical and hormonal tests were evaluated. Results: At the postoperative period, a significant decrease was detected in the BMI levels of both male and female groups in comparison to the preoperative period (p<0.01). There was no significant difference in the FSFI, IIEF, IIEF-5 and IIEF-6 scores (p>0.05); however, there was a quantitative increase at the score levels. A negative correlation was detected between BMI and FSFI, IIEF, IIEF-5 and IIEF-6 scores. Conclusion: Although there was no significant difference in the sexual functions of the patients who underwent LAGB operation in the early period, the long-term follow-up of the patients was become more of an issue.
Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA 2004;291:2847–50.
2. Tam AA, Çakır B, Approach Of Obesity In Primary Health Care. Ankara Medical Journal 2012;12:37–41.
3. Yaşar H, Özkan L, Tepeler A. Current approach to sexual disfunctions in women. Journal of Clinical and Experimental Investigations 2010;1:235–40. [CrossRef]
4. Karaköse A, Yüksel MB. The relationships between waist circumference as an indicator of central obesity and lower urinary tract symptoms, erectile dysfunction and metabolic syndrome components. Dicle Medical Journal 2012;39:504–8.
5. di Frega AS, Dale B, Di Matteo L, Wilding M. Secondary male factor infertility after Roux-en-Y gastric bypass for morbid obesity: case report. Hum Reprod 2005;20:997–8. [CrossRef]
6. Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The international index of erectile function (IIEF): a multidi-mensional scale for assessment of erectile dysfunction. Urolo-gy 1997;49:822–30. [CrossRef]
7. Vázquez C, Morejón E, Muñoz C, López Y, Balsa J, Koning MA, et al. Nutritional effect of bariatric surgery with Scopinaro operation. Analysis of 40 cases. [Article in Spanish]. Nutr Hosp 2003;18:189–93.
8. Aleid M, Muneer A, Renshaw S, George J, Jenkinson AD, Adamo M, et al. Early Effect of Bariatric Surgery on Urogenital Function in Morbidly Obese Men. J Sex Med 2017;14:205–14.
9. Mora M, Aranda GB, de Hollanda A, Flores L, Puig-Domingo M, Vidal J. Weight loss is a major contributor to improved sexual function after bariatric surgery. Surg Endosc 2013;27:3197–204. [CrossRef]
10. Rosenblatt A, Faintuch J, Cecconello I. Sexual hormones and erectile function more than 6 years after bariatric surgery. Surg Obes Relat Dis 2013;9:636–40. [CrossRef]
11. Demir Ö, Parlakay N, Gök G, Esen AA. Sexual dysfunction in a female hospital staff. Türk Üroloji Dergisi 2007:33:156–60.
12. Tamer İ, Dabak R, Tamer G, Orbay E, Sargın M. Güncel Kılavuzlar Işığında Hiperlipidemi. RNA Aile Hekimliği Dergisi 2008;2:6–10.
13. Khedun SM, Naicker T, Maharaj B. Zinc, hydrochlorothiazide and sexual dysfunction. Cent Afr J Med 1995;41:312–5.
14. 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. [CrossRef]
15. Bhojani N, Perrotte P, Hutterer G, Suardi N, Jeldres C, Shariat SF. Body mass index and its association with genitourinary disorders in men undergoing prostate cancer screening. Journal of Sexual Medicine 2008;5:2141–51. [CrossRef]
16. Bond DS, Vithiananthan S, Leahey TM, Thomas JG, Sax HC, Pohl D, et al. Prevalence and degree of sexual dysfunction in a sample of women seekingbariatric surgery. Surg Obes Relat Dis 2009;5:698–704. [CrossRef]
17. Witting K, Santtila P, Varjonen M, Jern P, Johansson A, von der Pahlen B, et al. Female sexual dysfunction, sexual distress, and compatibility with partner. J Sex Med 2008;5:2587–99.[CrossRef]
18. Ferenidou F, Kapoteli V, Moisidis K, Koutsogiannis I, Giakoumelos A, Hatzichristou D. Presence of a sexual problem may not affect women's satisfaction from their sexual function. J Sex Med 2008;5:631–9. [CrossRef]
19. Chedraui P, Perez-Lopez FR, San Miguel G, Avila C. Assessment of sexuality among middle-aged women using the Female Sexual Function Index. Climacteric 2009;12:213–21. [CrossRef]
20. Sarwer DB, Spitzer JC, Wadden TA, Mitchell JE, Lancaster K, Courcoulas A, et al. Changes in sexual functioning and sex hormone levels in women following bariatric surgery. JAMA Surg 2014;149:26–33. [CrossRef]
21. Kolotkin RL, Crosby RD, Gress RE, Hunt SC, Adams TD. Twoyear changes in health-related quality of life in gastric bypasspatients compared with severely obese controls. Surg Obes Relat Dis 2009;5:250–6. [CrossRef]
22. Müller A, Mulhall JP. Cardiovascular disease, metabolic syndrome and erectile dysfunction. Curr Opin Urol 2006;16:435–43.
23. Borges R, Temido P, Sousa L, Azinhais P, Conceição P, Pereira B, et al. Metabolic syndrome and sexual (dys)function. J Sex Med 2009;6:2958–75.
24. Ranasinghe WK, Wright T, Attia J, McElduff P, Doyle T, Bartholomew M, et al. Effects of bariatric surgery on urinary andsexual function. BJU Int 2011;107:88–94. [CrossRef]
25. Araújo AA0, Brito AM, Ferreira Mde N, Petribú K, Mariano MH. Changes the sexual quality of life of the obeses submitted Fobi-Capella gastroplasty surgery. [Article in Portuguese]. Rev Col Bras Cir 2009;36:42–8. [CrossRef]
26. Feldman HA, Johannes CB, Derby CA, Kleinman KP, Mohr BA, Araujo AB, et al. Erectile dysfunction and coronary risk factors: prospective results from the Massachusetts male aging study. Prev Med 2000;30:328–38. [CrossRef]