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BMC Urology

01-12-2020 | Erectile Dysfunction | Research article

The relationships between bariatric surgery and sexual function: current evidence based medicine

Authors: Shengzhuo Liu, Dehong Cao, Zhengju Ren, Jinze Li, Lei Peng, Qin Zhang, Bo Cheng, Zheyu Cheng, Jianzhong Ai, Xiaonan Zheng, Liangren Liu, Qiang Wei

Published in: BMC Urology | Issue 1/2020

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Abstract

Background

Controversy remains despite several studies have discussed the role of bariatric surgery in improving male’s sexual function. This study aims to evaluate the efficacy of bariatric surgery in promoting male’s erectile function.

Methods

PubMed, EMbase, The Cochrane Library, CNKI and Clinical Trails.​gov were searched from database inception to May 2019. The language of publication was limited in English. The International Index of Erectile Function (IIEF) score and Brief Male Sexual Function Inventory (BSFI) score were set as the primary outcome.

Results

Eleven studies with a total of 370 patients were enrolled in this meta-analysis. The results showed significant improvement in the IIEF score (erectile function: MD = 5.33, 95% CI 4.12–6.54; intercourse satisfaction: MD = 2.57, 95% CI 1.19–3.94; orgasmic function: MD = 0.50, 95%CI 0.60–0.94; overall satisfaction: MD = 1.67, 95% CI 0.78–2.56; sexual desire: MD = 1.27, 95% CI 0.61–1.93; total erectile function: MD = 7.21, 95% CI 4.33–10.10) and the BSFI score (erection: MD =2.53, 95% CI 2.39–2.67; ejaculation: MD = 1.40, 95% CI 1.28–1.51; desire: MD =1.40, 95% CI 1.32–1.49; problem assessment: MD = 2.20, 95% CI 2.06–2.34; sexual satisfaction: MD = 0.70, 95% CI 0.60–0.76) in obese individuals after bariatric surgery.

Conclusions

This systematic review and meta-analysis indicated that bariatric surgery could be effective in promoting males’s sexual function for obese individuals.
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Metadata
Title
The relationships between bariatric surgery and sexual function: current evidence based medicine
Authors
Shengzhuo Liu
Dehong Cao
Zhengju Ren
Jinze Li
Lei Peng
Qin Zhang
Bo Cheng
Zheyu Cheng
Jianzhong Ai
Xiaonan Zheng
Liangren Liu
Qiang Wei
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Urology / Issue 1/2020
Electronic ISSN: 1471-2490
DOI
https://doi.org/10.1186/s12894-020-00707-1