Effects of bariatric surgery on testosterone level and sexual function in men with obesity: A retrospective study
IntroductionBariatric surgeries induce well-documented weight loss and resolve obesity comorbidities. Sexual function is one of the aspects of life quality and may benefit from surgery. Few studies have revealed the impact of bariatric surgeries on sexual function in Chinese men with obesity.Methods...
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2022.1036243/full |
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| author | Guoji Chen Guoji Chen Guoji Chen Guoji Chen Luping Sun Shuwen Jiang Shuwen Jiang Shuwen Jiang Xiaomei Chen Xiaomei Chen Jie Zhu Jie Zhu Jie Zhu Xin Zhao Xin Zhao Xin Zhao Shuqing Yu Shuqing Yu Zhiyong Dong Zhiyong Dong Zhiyong Dong Yuan Chen Yuan Chen Yuan Chen Wen Zhang Wah Yang Wah Yang Wah Yang Cunchuan Wang Cunchuan Wang Cunchuan Wang |
| author_facet | Guoji Chen Guoji Chen Guoji Chen Guoji Chen Luping Sun Shuwen Jiang Shuwen Jiang Shuwen Jiang Xiaomei Chen Xiaomei Chen Jie Zhu Jie Zhu Jie Zhu Xin Zhao Xin Zhao Xin Zhao Shuqing Yu Shuqing Yu Zhiyong Dong Zhiyong Dong Zhiyong Dong Yuan Chen Yuan Chen Yuan Chen Wen Zhang Wah Yang Wah Yang Wah Yang Cunchuan Wang Cunchuan Wang Cunchuan Wang |
| author_sort | Guoji Chen |
| collection | DOAJ |
| description | IntroductionBariatric surgeries induce well-documented weight loss and resolve obesity comorbidities. Sexual function is one of the aspects of life quality and may benefit from surgery. Few studies have revealed the impact of bariatric surgeries on sexual function in Chinese men with obesity.MethodsThis is a retrospective cohort study of patients undergoing bariatric surgery [laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB)]. Data were collected between September 2017 and February 2022. The International Index of Erectile Function (IIEF) questionnaire was used to evaluate erectile function, intercourse satisfaction, orgasmic function, sexual desire, and overall satisfaction. Sex hormones and other blood tests were evaluated before and at least 1 year after the surgery.ResultsFifty-nine Chinese male patients completed the IIEF questionnaire. The multivariate logistic regression analysis revealed that body mass index (BMI) was the single independent risk factor of the severity of erectile dysfunction (ED). Preoperative testosterone levels had negative correlations with BMI and waist circumference. Thirty-seven patients completed the postoperative questionnaire with a mean follow-up of 23.2 months.ConclusionBMI and waist circumference were negatively correlated with testosterone levels. BMI was an independent risk factor for the severity of ED. LSG and LRYGB led to positive and sustained improvement in sexual function of men with obesity. The two procedures had a comparable effect, more subjects being needed. Sex hormone levels also could be reversible. However, more weight loss did not predict a positive change in sexual function. A greater BMI loss might predict a greater increase in testosterone. |
| first_indexed | 2024-04-10T20:46:36Z |
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| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-04-10T20:46:36Z |
| publishDate | 2023-01-01 |
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| series | Frontiers in Endocrinology |
| spelling | doaj.art-185c6ca6769c4a6790dc63cac5e64d102023-01-24T06:25:30ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-01-011310.3389/fendo.2022.10362431036243Effects of bariatric surgery on testosterone level and sexual function in men with obesity: A retrospective studyGuoji Chen0Guoji Chen1Guoji Chen2Guoji Chen3Luping Sun4Shuwen Jiang5Shuwen Jiang6Shuwen Jiang7Xiaomei Chen8Xiaomei Chen9Jie Zhu10Jie Zhu11Jie Zhu12Xin Zhao13Xin Zhao14Xin Zhao15Shuqing Yu16Shuqing Yu17Zhiyong Dong18Zhiyong Dong19Zhiyong Dong20Yuan Chen21Yuan Chen22Yuan Chen23Wen Zhang24Wah Yang25Wah Yang26Wah Yang27Cunchuan Wang28Cunchuan Wang29Cunchuan Wang30Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaJinan University Institute of Obesity and Metabolic Disorders, Guangzhou, ChinaJoint Institute of Metabolic Medicine between State Key Laboratory of Pharmaceutical Biotechnology, The University of Hong Kong and Jinan University, Guangzhou, ChinaDepartment of Gastrointestinal Surgery, The First People’s Hospital of Zhaoqing, Zhaoqing, ChinaDepartment of urinary Surgery, First Affiliated Hospital of Jinan University, Guangzhou, ChinaDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaJinan University Institute of Obesity and Metabolic Disorders, Guangzhou, ChinaJoint Institute of Metabolic Medicine between State Key Laboratory of Pharmaceutical Biotechnology, The University of Hong Kong and Jinan University, Guangzhou, ChinaDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaJinan University Institute of Obesity and Metabolic Disorders, Guangzhou, ChinaDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaJinan University Institute of Obesity and Metabolic Disorders, Guangzhou, ChinaJoint Institute of Metabolic Medicine between State Key Laboratory of Pharmaceutical Biotechnology, The University of Hong Kong and Jinan University, Guangzhou, ChinaDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaJinan University Institute of Obesity and Metabolic Disorders, Guangzhou, ChinaJoint Institute of Metabolic Medicine between State Key Laboratory of Pharmaceutical Biotechnology, The University of Hong Kong and Jinan University, Guangzhou, ChinaDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaJinan University Institute of Obesity and Metabolic Disorders, Guangzhou, ChinaDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaJinan University Institute of Obesity and Metabolic Disorders, Guangzhou, ChinaJoint Institute of Metabolic Medicine between State Key Laboratory of Pharmaceutical Biotechnology, The University of Hong Kong and Jinan University, Guangzhou, ChinaDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaJinan University Institute of Obesity and Metabolic Disorders, Guangzhou, ChinaJoint Institute of Metabolic Medicine between State Key Laboratory of Pharmaceutical Biotechnology, The University of Hong Kong and Jinan University, Guangzhou, ChinaSchool of Nursing, Jinan University, Guangzhou, Guangdong, ChinaDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaJinan University Institute of Obesity and Metabolic Disorders, Guangzhou, ChinaJoint Institute of Metabolic Medicine between State Key Laboratory of Pharmaceutical Biotechnology, The University of Hong Kong and Jinan University, Guangzhou, ChinaDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, ChinaJinan University Institute of Obesity and Metabolic Disorders, Guangzhou, ChinaJoint Institute of Metabolic Medicine between State Key Laboratory of Pharmaceutical Biotechnology, The University of Hong Kong and Jinan University, Guangzhou, ChinaIntroductionBariatric surgeries induce well-documented weight loss and resolve obesity comorbidities. Sexual function is one of the aspects of life quality and may benefit from surgery. Few studies have revealed the impact of bariatric surgeries on sexual function in Chinese men with obesity.MethodsThis is a retrospective cohort study of patients undergoing bariatric surgery [laparoscopic sleeve gastrectomy (LSG) or laparoscopic Roux-en-Y gastric bypass (LRYGB)]. Data were collected between September 2017 and February 2022. The International Index of Erectile Function (IIEF) questionnaire was used to evaluate erectile function, intercourse satisfaction, orgasmic function, sexual desire, and overall satisfaction. Sex hormones and other blood tests were evaluated before and at least 1 year after the surgery.ResultsFifty-nine Chinese male patients completed the IIEF questionnaire. The multivariate logistic regression analysis revealed that body mass index (BMI) was the single independent risk factor of the severity of erectile dysfunction (ED). Preoperative testosterone levels had negative correlations with BMI and waist circumference. Thirty-seven patients completed the postoperative questionnaire with a mean follow-up of 23.2 months.ConclusionBMI and waist circumference were negatively correlated with testosterone levels. BMI was an independent risk factor for the severity of ED. LSG and LRYGB led to positive and sustained improvement in sexual function of men with obesity. The two procedures had a comparable effect, more subjects being needed. Sex hormone levels also could be reversible. However, more weight loss did not predict a positive change in sexual function. A greater BMI loss might predict a greater increase in testosterone.https://www.frontiersin.org/articles/10.3389/fendo.2022.1036243/fullsleeve gastrectomy (SG)gastric bypassbariatric surgerysexual function (male)obesity |
| spellingShingle | Guoji Chen Guoji Chen Guoji Chen Guoji Chen Luping Sun Shuwen Jiang Shuwen Jiang Shuwen Jiang Xiaomei Chen Xiaomei Chen Jie Zhu Jie Zhu Jie Zhu Xin Zhao Xin Zhao Xin Zhao Shuqing Yu Shuqing Yu Zhiyong Dong Zhiyong Dong Zhiyong Dong Yuan Chen Yuan Chen Yuan Chen Wen Zhang Wah Yang Wah Yang Wah Yang Cunchuan Wang Cunchuan Wang Cunchuan Wang Effects of bariatric surgery on testosterone level and sexual function in men with obesity: A retrospective study Frontiers in Endocrinology sleeve gastrectomy (SG) gastric bypass bariatric surgery sexual function (male) obesity |
| title | Effects of bariatric surgery on testosterone level and sexual function in men with obesity: A retrospective study |
| title_full | Effects of bariatric surgery on testosterone level and sexual function in men with obesity: A retrospective study |
| title_fullStr | Effects of bariatric surgery on testosterone level and sexual function in men with obesity: A retrospective study |
| title_full_unstemmed | Effects of bariatric surgery on testosterone level and sexual function in men with obesity: A retrospective study |
| title_short | Effects of bariatric surgery on testosterone level and sexual function in men with obesity: A retrospective study |
| title_sort | effects of bariatric surgery on testosterone level and sexual function in men with obesity a retrospective study |
| topic | sleeve gastrectomy (SG) gastric bypass bariatric surgery sexual function (male) obesity |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2022.1036243/full |
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