Akan Serkan, Uruc Fatih, Aydin M Timucin, Verit Ayhan
University of Health Sciences, Sultan Abdulhamid Han Training and Research Hospital, Department of Urology, Istanbul, Turkey.
Fatih Sultan Mehmet Research & Training Hospital, Department of Urology, Istanbul, Turkey.
Rev Int Androl. 2018 Oct-Dec;16(4):167-173. doi: 10.1016/j.androl.2017.12.003. Epub 2018 Mar 6.
Obesity may lead to a serious deterioration in general quality of daily life and sexual functionality. Bariatric surgery is the most effective treatment method for obesity and related morbidities so far and it is better than some medical treatment modalities. In this study, we aimed to investigate the effects of bariatric surgery and especially sleeve gastrectomy, which has been currently performed in increasing numbers on female sexual functions and quality of life.
A total of 53 patients were included to the current study. The participants were selected from eligible individuals who have undergone laparoscopic sleeve gastrectomy operation in our center between April 2014 and March 2015 dates. Age, body weights and body mass indexes (BMIs) of the patients were pre-operatively recorded. The patients have completed the Female Sexual Function Index (FSFI), Beck Depression Scale and SF-36 (Short form-36) forms before and after the surgery. Additionally, post-operative decrease in body weights and mean BMI were recorded.
Following bariatric surgery, sexual functions of the female patients improved and total FSFI scores increased. When FSFI scores were analyzed, it was observed that sexual desire, sexual arousal, lubrication, orgasm and sexual satisfaction increased, while the pain parameter has not changed.
Recent literature reveals that unfavorable effects of increasingly prevalent obesity on sexual functions cannot be denied. We think that sleeve gastrectomy can obtain considerable weight loss, improvement in self-esteem, decrease in anxiety, amelioration in sexual functions and general quality of life.
肥胖可能导致日常生活总体质量和性功能严重下降。减肥手术是目前治疗肥胖及其相关病症最有效的方法,且优于某些药物治疗方式。在本研究中,我们旨在调查减肥手术尤其是目前实施数量日益增加的袖状胃切除术对女性性功能和生活质量的影响。
本研究共纳入53例患者。参与者选自2014年4月至2015年3月期间在我们中心接受腹腔镜袖状胃切除术的符合条件的个体。术前记录患者的年龄、体重和体重指数(BMI)。患者在手术前后完成了女性性功能指数(FSFI)、贝克抑郁量表和SF-36(简短形式-36)表格。此外,记录术后体重减轻情况和平均BMI。
减肥手术后,女性患者的性功能得到改善,FSFI总分增加。分析FSFI评分时发现,性欲、性唤起、润滑、性高潮和性满意度增加,而疼痛参数未改变。
近期文献表明,日益普遍的肥胖对性功能的不利影响不可否认。我们认为袖状胃切除术可实现显著减重、自尊改善、焦虑减轻、性功能和总体生活质量改善。