Journal of the American College of Surgeons
Volume 207, Issue 6 , Pages 859-864 , December 2008

Sexual Dysfunction Is Common in the Morbidly Obese Male and Improves after Gastric Bypass Surgery

  • Ramsey M. Dallal, MD, FACS

      Affiliations

    • Department of Surgery, Albert Einstein Healthcare Network, Philadelphia, PA
    • Corresponding Author InformationCorrespondence address: Ramsey M Dallal, MD, Department of Surgery, Albert Einstein Healthcare Network, Philadelphia, PA 19027
    • ,
  • Arthur Chernoff, MD

      Affiliations

    • Division of Endocrinology, Albert Einstein Healthcare Network, Philadelphia, PA
    • ,
  • Michael P. O'Leary, MD

      Affiliations

    • Department of Urology, Brigham and Women's Hospital, Boston, MA
    • ,
  • Jason A. Smith, MD

      Affiliations

    • Department of Surgery, Albert Einstein Healthcare Network, Philadelphia, PA
    • ,
  • Justin D. Braverman, MD

      Affiliations

    • CALSURG, Inc, Newport Beach, CA
    • ,
  • Brian B. Quebbemann, MD, FACS

      Affiliations

    • CALSURG, Inc, Newport Beach, CA

Received 24 May 2008 ,Revised 29 July 2008 ,Accepted 5 August 2008.

References 

  1. McVary KT. Clinical practice (Erectile dysfunction). N Engl J Med. 2007;357:2472–2481
  2. Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States, 1999–2004. JAMA. 2006;295:1549–1555
  3. Adams TD, Gress RE, Smith SC, et al. Long-term mortality after gastric bypass surgery. N Engl J Med. 2007;357:753–761
  4. Schauer PR, Burguera B, Ikramuddin S, et al. Effect of laparoscopic Roux-en-Y gastric bypass on type 2 diabetes mellitus. Ann Surg. 2003;238:467–484discussion 484–485
  5. Fernstrom JD, Courcoulas AP, Houck PR, Fernstrom MH. Long-term changes in blood pressure in extremely obese patients who have undergone bariatric surgery. Arch Surg. 2006;141:276–283
  6. Nguyen NT, Goldman C, Rosenquist CJ, et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001;234:279–289discussion 289–291
  7. O'Leary MP, Fowler FJ, Lenderking WR, et al. A brief male sexual function inventory for urology. Urology. 1995;46:697–706
  8. Roberts RO, Rhodes T, Panser LA, et al. Natural history of prostatism: worry and embarrassment from urinary symptoms and health care-seeking behavior. Urology. 1994;43:621–628
  9. O'Leary MP, Rhodes T, Girman CJ, et al. Distribution of the Brief Male Sexual Inventory in community men. Int J Impot Res. 2003;15:185–191
  10. Chute CG, Panser LA, Girman CJ, et al. The prevalence of prostatism: a population-based survey of urinary symptoms. J Urol. 1993;150:85–89
  11. Oria HE, Carrasquilla C, Cunningham P, et al. Guidelines for weight calculations and follow-up in bariatric surgery. Surg Obes Relat Dis. 2005;1:67–68
  12. Feldman HA, Johannes CB, Derby CA, et al. Erectile dysfunction and coronary risk factors: prospective results from the Massachusetts male aging study. Prev Med. 2000;30:328–338
  13. Bacon CG, Mittleman MA, Kawachi I, et al. Sexual function in men older than 50 years of age: results from the health professionals follow-up study. Ann Int Med. 2003;139:161–168
  14. Jarow JP, Kirkland J, Koritnik DR, Cefalu WT. Effect of obesity and fertility status on sex steroid levels in men. Urology. 1993;42:171–174
  15. Vermeulen A, Kaufman JM, Giagulli VA. Influence of some biological indexes on sex hormone-binding globulin and androgen levels in aging or obese males. J Clin Endocrin Metabol. 1996;81:1821–1826
  16. Pasquali R, Casimirri F, Cantobelli S, et al. Effect of obesity and body fat distribution on sex hormones and insulin in men. Metab Clin Exper. 1991;40:101–104
  17. Kley HK, Deselaers T, Peerenboom H. Evidence for hypogonadism in massively obese males due to decreased free testosterone (Hormone and metabolic research). Hormon- und Stoffwechselforschung. 1981;13:639–641
  18. Alagna S, Cossu ML, Gallo P, et al. Biliopancreatic diversion: long-term effects on gonadal function in severely obese men. Surg Obes Relat Dis. 2006;2:82–86
  19. Esposito K, Giugliano F, Di Palo C, et al. Effect of lifestyle changes on erectile dysfunction in obese men: a randomized controlled trial. JAMA. 2004;291:2978–2984
  20. Kaukua J, Pekkarinen T, Sane T, Mustajoki P. Sex hormones and sexual function in obese men losing weight. Obesity Res. 2003;11:689–694
  21. Azad N, Emanuele NV, Abraira C, et al. The effects of intensive glycemic control on neuropathy in the VA cooperative study on type II diabetes mellitus (VA CSDM). J Diabetes Complications. 1999;13:307–313
  22. Tsai AG, Wadden TA. Systematic review: an evaluation of major commercial weight loss programs in the United States. Ann Intern Med. 2005;142:56–66
  23. Wadden TA, Berkowitz RI, Womble LG, et al. Randomized trial of lifestyle modification and pharmacotherapy for obesity. N Engl J Med. 2005;353:2111–2120
  24. Morino M, Toppino M, Forestieri P, et al. Mortality after bariatric surgery: analysis of 13,871 morbidly obese patients from a national registry. Ann Surg. 2007;246:1002–1009
  25. White MA, O'Neil PM, Kolotkin RL, Byrne TK. Gender, race, and obesity-related quality of life at extreme levels of obesity. Obes Res. 2004;12:949–955
  26. Kloppel G, Anlauf M, Raffel A, et al. Adult diffuse nesidioblastosis: genetically or environmentally induced?. Hum Pathol. 2008;39:3–8
  27. Livingston EH, Huerta S, Arthur D, et al. Male gender is a predictor of morbidity and age a predictor of mortality for patients undergoing gastric bypass surgery. Ann Surg. 2002;236:576–582
  28. Kolotkin RL, Crosby RD, Pendleton R, et al. Health-related quality of life in patients seeking gastric bypass surgery vs non-treatment-seeking controls. Obes Surg. 2003;13:371–377

 Disclosure Information: Nothing to disclose.

PII: S1072-7515(08)01212-X

doi: 10.1016/j.jamcollsurg.2008.08.006

Journal of the American College of Surgeons
Volume 207, Issue 6 , Pages 859-864 , December 2008

Article Tools