Lamey Ahmed, Abouelgreed Tamer A, Abdelmoneim Osama, Ali Mohamed Sherif, Elshaboury Ahmed, Rehan Mohamed, Khater Saed, Ghoneimy Osama M, Elzamek Maha M, Elnady Esam A, Elebiary Mohamed F, Hindawy Mohamed, Wahsh Ahmed, Garanayka Satyabrata, Elamir Mohamed Y
Department of General Surgery, Faculty of Medicine, Kafr Elsheikh University, Kafr el-Sheikh.
Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo.
Arch Ital Urol Androl. 2025 Jun 30;97(2):13912. doi: 10.4081/aiua.2025.13912. Epub 2025 Jun 16.
The primary aim of the study is to identify the effect of laparoscopic sleeve gastrectomy on the erectile function of Egyptian obese men via measurement of subjective feelings measured by the International Index of Erectile Function questionnaire (IIEF-5) and objective sex hormone test. The secondary aim of the study is to evaluate weight loss changes and changes in other blood test results.
One hundred Egyptian men with morbid obesity (mean BMI 45.5 kg/m², mean age 37.3 years) who underwent laparoscopic sleeve gastrectomy (LSG), were included retrospectively from the period of January 2022 to January 2024 on this study and 80 completed the 1-year follow-up. All operations were performed by the same surgical team in our hospital. Informed consents were taken from all the patients who were recruited in the study.
Significant reductions in comorbidities such as hypertension, diabetes, osteoarthritis, and dyslipidemia were observed after laparoscopic sleeve gastrectomy. Sexual function improved notably in orgasmic function, intercourse satisfaction, and overall satisfaction, along with a significant rise in serum testosterone levels. Patients also experienced substantial decreases in weight, BMI, waist and hip circumference, and improvements in lipid profile, HbA1c, inflammatory markers, and sex hormones. No severe complications or mortality were reported during the study period.
A significant enhancement in the erectile function was observed in obese Egyptian men following LGS. This improvement was evidenced both clinically through increased IIEF scores after surgery and biochemically through increased serum testosterone level.
本研究的主要目的是通过国际勃起功能指数问卷（IIEF-5）测量的主观感受和客观性激素检测，确定腹腔镜袖状胃切除术对埃及肥胖男性勃起功能的影响。本研究的次要目的是评估体重减轻变化以及其他血液检测结果的变化。
回顾性纳入2022年1月至2024年1月期间在本研究中接受腹腔镜袖状胃切除术（LSG）的100名埃及男性病态肥胖患者（平均BMI 45.5kg/m²，平均年龄37.3岁），其中80名完成了1年的随访。所有手术均由我院同一手术团队进行。对纳入本研究的所有患者均取得了知情同意书。
腹腔镜袖状胃切除术后，观察到高血压、糖尿病、骨关节炎和血脂异常等合并症显著减少。性功能在性高潮功能、性交满意度和总体满意度方面显著改善，同时血清睾酮水平显著升高。患者的体重、BMI、腰围和臀围也显著下降，血脂谱、糖化血红蛋白、炎症标志物和性激素有所改善。研究期间未报告严重并发症或死亡病例。
肥胖埃及男性在接受腹腔镜袖状胃切除术后，勃起功能显著增强。这种改善在临床上通过术后IIEF评分增加得到证实，在生化方面通过血清睾酮水平升高得到证实。
