IBC-Ox34 Transit bipartition improves serum total testosterone levels in overweight and obese type-2 diabetic men and cures erectile dysfunction: short-term preliminary results

Abstract

Abstract Introduction In males, erectile dysfunction (ED) secondary to obesity is one of the most common cause of male sexual dysfunction, in our study we investigated the effect of bariatric surgery on male sex hormone, testosterone and sexual status of 99 overweight and obese men with type II diabetes who underwent a laparoscopic transit bipartition. Methods Ninety-nine patients with type-II diabetes mellitus (T2DM) and obesity who underwent transit bipartition in Hospital X were prospectively evaluated before and 6 months after the surgery for the serum total testosterone levels. Also, the erectile dysfunction was evaluated by using International Index of Erectile Function (IIEF) scoring system. In addition, all the patients had been evaluated in BMI categories of overweight (BMI 25-29), Class 1 Obese (30-35), Class 2 Obese (35-40) and morbidly obese (>40 kg/m2). Results Serum total testosterone (T) levels were assessed before and 6 months after TB in 99 male patients. Mean age was 45.7 and median serum total testosterone (T) levels before and after 6 months were 3.03 nmol/L (range: 0.38-8.44) and, 4.43 nmol/L (range 0.34-9.70) (min-max) respectively. Also, the patient's pre-operative and post-operative testosterone values and IIEF scores were calculated in every category of obesity (Table 1). Before and after bariatric surgery serum T levels were statistically significant (p<0.005). Conclusion In conclusion serum T levels and IIEF scores significantly improved after 6 months following bariatric surgery. This condition may explain improvement of erectile dysfunction following bariatric surgery. Larger and long-term studies are required to investigate these beneficial effects of surgery in patients with obesity and T2DM.