Department of General Surgery, Dongguan 3rd People's Hospital, Dongguang, 523320, China.
Department of Medical Imaging, Dongguan 3rd People's Hospital, Dongguang, 523320, China.
Obes Surg. 2020 Jan;30(1):352-364. doi: 10.1007/s11695-019-04240-5.
We aimed to make a meta-analysis regarding the effect of bariatric surgery on female sexual function. PubMed, EMBASE, and CENTRAL were searched from database inception through August 2019. Articles were eligible for inclusion if they examined the effect of bariatric surgery on obese women's sexual function assessed by the Female Sexual Functioning Index (FSFI) or/and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Twenty articles were included into meta-analysis. Bariatric surgery was associated with significant increase in the total FSFI score. When parameters included in the FSFI scoring system were separately evaluated, significant improvements were observed in sexual desire, sexual arousal, lubrication, orgasm, sexual satisfaction, and sexual pain. However, the PISQ-12 and FSFI scores in women with pelvic floor disorders (PFDs) were not significantly changed postoperatively. Bariatric surgery improves female sexual function in obese patients, but not in women with PFD.
我们旨在进行一项荟萃分析，探讨减重手术对女性性功能的影响。从数据库建立到 2019 年 8 月，我们检索了 PubMed、EMBASE 和 CENTRAL。如果文章检查了减重手术对肥胖女性性功能的影响，评估方法是使用女性性功能指数（FSFI）和/或盆腔器官脱垂/尿失禁性功能问卷（PISQ-12），则这些文章有资格被纳入荟萃分析。共有 20 篇文章被纳入荟萃分析。减重手术与 FSFI 总分的显著增加相关。当分别评估 FSFI 评分系统中包含的参数时，观察到性欲、性唤起、润滑、性高潮、性满足和性疼痛方面有显著改善。然而，术后女性盆底功能障碍（PFD）患者的 PISQ-12 和 FSFI 评分没有显著变化。减重手术可改善肥胖患者的女性性功能，但对 PFD 女性无明显作用。
