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- Title
Long-term effect of sleeve gastrectomy surgery on Hormonal Profile, Semen Parameters and sexual functions of obese infertile men; a prospective observational study.
- Authors
Abouelgreed, Tamer A.; Elatreisy, Adel; El-sherbeiny, Ahmed F.; Abdelaal, Mohamed A.; Saafan, Tamer; Shalkamy, Osama; Farag, Hamdy; Ghoneimy, Osama M.; El-dydamony, Eman M.; Ibrahim, Eman H.; Amer, Mohamed; Kutub, Khalid; Zamra, Mohamed; Hussein, Mohamed A.; Koritenah, Ayman K.; Hefny, Sherin A.
- Abstract
Background: The effect of bariatric surgery on impaired semen parameters, hormonal profile and sexual function remains controversial to some extent. The context and purpose of the study: To look at the long-term effects of sleeve gastrectomy on hormonal profiles, sperm parameters, and sexual function in infertile men with severe obesity. This prospective study included fifty-four obese patients with primary or secondary infertility who were scheduled for sleeve gastrectomy between February 2018 and March 2021. All participants were given a sperm analysis and a serum hormone profile before, 12, and 18 months after surgery. We used the International Index of Erectile Function questionnaire to assess sexual function. Results: There was a significant correlation between weight loss after sleeve gastrectomy and improvement in lipid profile (p < 0.05). No significant detectable effect of post-gastrectomy weight loss on patients with diabetes mellitus, hypertension, or obstructive sleep apnea. As regards the hormonal profile, sex hormone binding globulin, total and free testosterone improved significantly after 12- and 18-months following sleeve gastrectomy. There was a significant increase in sperm count and total sperm number during the follow-up after sleeve gastrectomy (p < 0.05), however, there were no significant changes in other semen parameters. Concerning sexual function, sexual desire, erectile function, and satisfaction improved significantly at 12 and 18 months after surgery. Conclusion: Weight loss through sleeve gastrectomy surgery significantly improves testosterone deficiency, sexual performance, and Sperm count in obese infertile men.
- Subjects
SLEEVE gastrectomy; MALE infertility; OVERWEIGHT men; SEMEN; GASTRIC bypass; WEIGHT loss
- Publication
Basic & Clinical Andrology, 2023, Vol 33, Issue 1, p1
- ISSN
2051-4190
- Publication type
Article
- DOI
10.1186/s12610-023-00191-1