Obez Erkeklerde Bariatrik Cerrahi Sonrası Cinsel Fonksiyonlardaki Değişi-klikler ve Partner Cinsel Fonksiyonları Üzerine Etkileri

Öz

Amaç: Bu çalışmanın amacı, bariatrik cerrahi (BC) geçiren obez erkeklerde ameliyat öncesi ve sonrası cinsel işlevleri değerlendirerek BC’nin etkinliğini incelemektir. Materyal ve Metod: Bu gözlemsel çalışmaya Ocak 2013 ile Eylül 2021 arasında obezite nedeniyle BC geçiren erkek hastalar dahil edildi. Hastalara standardize laparoskopik Roux-en-Y gastrik bypass veya laparoskopik sleeve gastrektomi uygulandı. Cinsel işlev için, BC'den önce ve bir yıl sonra Uluslararası Ereksiyon Fonksiyonu İndeksi (IIEF) sorgulama formu dolduruldu. Ayrıca, kadın partnerlerin yaşı, Vücut Kitle İndeksi (BMI) ve Kadın Cinsel İşlev İndeksi (FSFI) skorları operasyon öncesi ve sonrası kaydedildi. Hastaların takip kilosu, bel çevresi, serum biyokimyası ve hormon değerleri operasyon-dan sonraki 6-12 aylık dönemde yeniden değerlendirildi. Bulgular: Çalışmaya toplam 1027 hasta dahil edildi. Erkek hastaların yaş ortalaması 37.33±12.4 yıl, ameliyat öncesi ortalama BMI 38.51±3.98 kg/m2 (35.20-49.80) idi. Ameliyat sonrası takip süresi 9.72±2.98 ay idi. Hastaların IIEF (tüm alanlarda) skorlarında ameliyattan sonra anlamlı artış vardı (her biri için p<0.001). Ameliyat sonrası kadın partnerlerin FSFI skorlarında artış olduğu saptandı (21.67±6.78’e karşı 27.55±5.48; p<0.001). IIEF-EF skorlarındaki değişimin partner BMI ile orta dü-zeyde ters korelasyon gösterdiği, D vitamini düzeyleri ile orta düzeyde korelasyon gösterdiği ve testosteron düzeyleri ile doğrusal korelasyon gösterdiği bulundu (sırasıyla p=0.034, r=-0.434; p=0.012, r=0,537 ve p=0.027, r=0.476). Sonuç: BC obez erkeklerin cinsel fonksiyonlarında önemli bir artış sağlar. Bu artış partner BMI ve D vitamini seviyeleri ile önemli bir ilişki göstermektedir.

Anahtar Kelimeler

• bariatrik cerrahi
• erektil fonksiyon
• cinsel fonksiyon
• partner memnuniyeti
• D vitamini

Changes in Sexual Functions and Effects on Partner Sexual Functions in Obese Men after Bariatric Surgery

Öz

Background: The aim of this study was to evaluate the efficacy of bariatric surgery (BS) by evaluating preoperative and postoperative sexual functions in obese men undergoing BS. Materials and Methods: Male patients who underwent BS due to obesity between January 2013 and September 2021 were included in this observational study. Patients underwent standardized laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy. For sexual function, the International Index of Erectile Function (IIEF) inquiry form was filled in before, and one year after BS. In addition, the age, Body Mass Index (BMI) and Female Sexual Function Index (FSFI) scores of the female partners were recorded before and after the operation. Follow-up weight, waist circum-ference, serum biochemistry and hormone values of the patients were re-evaluated in the 6-12 month period after the operation. Results: A total of 1027 patients were included in the study. The mean age of the male patients was 37.33±12.40 years, and the mean preoperative BMI was 38.51±3.98kg/m2 (35.20-49.80). The pos-toperative follow-up period of the patients was 9.72±2.98 months. There was a significant increase in the IIEF (all sub-dimensions) scores of the patients after the operation (p<0.001 for each). An increase in FSFI scores was found in female partners after surgery (21.67±6.78 vs. 27.55±5.48; p<0.001). The change in IIEF-EF scores was moderately inversely correlated with partner BMI, mo-derately correlated with vitamin D levels, and linearly correlated with testosterone levels (p=0.034, r=-0.434; p=0.012, r=0.537 and p=0.027, r=0.476, respectively). Conclusions: BS provides a significant increase in the sexual functions of obese men. This increase shows a significant relationship with partner BMI and vitamin D levels.

Anahtar Kelimeler

• bariatric surgery
• erectile function
• sexual function
• partner satisfaction
• vitamin D

Kaynakça

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