MP48-18 THE IMPACT OF BARIATRIC SURGERY ON THE ERECTILE FUNCTION. SYSTEMATIC REVIEW.

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy1 Apr 2016MP48-18 THE IMPACT OF BARIATRIC SURGERY ON THE ERECTILE FUNCTION. SYSTEMATIC REVIEW. Felipe Glina, Julia Walter de Freitas Barbosa, Victor Moises Nunes, Sidney Glina, and Wanderley Marques Bernardo Felipe GlinaFelipe Glina More articles by this author , Julia Walter de Freitas BarbosaJulia Walter de Freitas Barbosa More articles by this author , Victor Moises NunesVictor Moises Nunes More articles by this author , Sidney GlinaSidney Glina More articles by this author , and Wanderley Marques BernardoWanderley Marques Bernardo More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.358AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Obesity is a global public health issue, which besides being a major problem in organic health, it is also a psychological and social problem. This association makes erectile dysfunction (ED) is a very common disease in obese men. It is known that weight loss in obese men contributes to the improvement of erectile dysfunction and bariatric surgery (BS) contributes to significant weight reduction. Evaluate the impact of BS in ED in obese patients. METHODS A search was conducted in MedLine, Lilacs, Central, Cochrane, Scopus and CINAHL until 15 March 2015. The researchers made the selections by title, abstract and full text. Each step was performed separately and compared them findings, differences were included to ensure better assessment of each article. The works were selected by the type of study, the group of patients, the type of intervention, and by comparing the outcome. The studies consisted of comparative studies or clinical trials in English, Portuguese or Spanish. Patients were included only obese male with no other restriction of age, race or sexual orientation. The selected interventions were bariatric surgery, regardless of whether this was restrictive, disabsorptive or mixed. The comparisons were accepted confronting study patients before and after bariatric surgery. Accepted outcomes assessed improvement of erectile dysfunction or sexual function of men, using International Index of Erectile Function Questionnaire (IIEF). The SING checklist for comparative studies were used in order to evidence the limitations and biases of each article. It was used for the meta-analysis RevMan 5.3 software of the Cochrane Library. RESULTS Articles recovered in the MedLine 16, Lilacs 12, Central 22, Cochrane 22, Scopus 34 and CINAHL 26. It was not rescued any item from the search text books, theses and references to other articles. These were used for the complete reading 8 and the meta-analysis 5. Patients undergoing BS had an increased IIEF Erectile Function scores of 3% of 5.24 points (95% CI -6.93, -3.54) with a I² = 0% (Figure 1). In Sexual Desire increased by 1 point (95% CI -1.58, -0.41) with a I² = 74%. In Intercourse Satisfaction of 2.62 points (95% ISC, -4.04, -1.20) with a I² = 90%., all with statistical significance. The Orgasmic Function and the Overall Satisfaction were increased 0.14 points (95% CI -0.99, 0.71) with a I² = 0% and 4.89 points (95% CI -11.17, 1.40) with a I² = 14%, respectively, but without statistical significance. CONCLUSIONS Bariatric surgery improves erectile function in obese patients. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e642-e643 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Felipe Glina More articles by this author Julia Walter de Freitas Barbosa More articles by this author Victor Moises Nunes More articles by this author Sidney Glina More articles by this author Wanderley Marques Bernardo More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...