Bariatrik Cerrahi Cinselliği Etkiler Mi? Sistematik Derleme

Obezite bozulmuş vücut imajı, psikolojik bozukluklar ve hormonal bozukluklar gibi çeşitli nedenlere bağlı olarak cinsel yaşamı olumsuz olarak etkilemektedir. Bariatrik cerrahi obezite tedavisinde sıkça kullanılmaktır. Kilo kaybına bağlı fiziksel aktivitede artış ve hormonal değişiklikler gibi olumlu etkilerinin yanısıra, bariatrik cerrahinin hızlı kilo kaybına bağlı gelişen cildin sarkması ve buruşması gibi yanetkileri de bulunmaktadır. Bu çalışmanın amacı bariatrik cerrahinin cinsel fonksiyonl üzerindeki etkisini belirlemektir. 2004 ile 2015 yılları arasındaki literatür, Scopus, Science Direct, PubMed, Ebsco, Coochrane, Medline Complete, Ovid, Springer Link, Google Scholar, Taylor & Francis, PsychInfo veri tabanları, ulusal tez merkezi ve Ulakbim veritabanları taranarak gözden geçirildi; kriterlere uygun on çalışma çalışmaya dahil edildi. Çalışmaya, bariatrik cerrahi uygulanan toplam 524 hasta (152 erkek) alındı. Tüm çalışmalarda cinsel işlevin düzeldiği görülmüştür. Ayrıca her iki cinsiyette de kilo vermenin üreme hormonları üzerinde olumlu etkileri olduğu gösterilmiştir. Bariatrik cerrahi, kilo kaybı ve dolayısıyla cinsel fonksiyon ve üreme hormonları üzerinde olumlu etkilere sahiptir.

Anahtar Kelimeler:

Cinsellik, bariatrik cerrahi, obezite, morbid

Does bariatric surgery affect sexuality? A systematic review

Obesity affects sexual health negatively due to several reasons such as impaired body image, psychological disorders and hormonal changes. Bariatric surgery is frequently used in the treatment of obesity. Besides positive effects such as an increase in physical activity due to weight loss and hormonal changes after surgery, there are some adverse effects of bariatric surgery such as sagging and wrinkling of skin due to rapid weight loss. The purpose of this study is to determine the effects of bariatric surgery on sexual function. The literature between 2004 and 2015 was reviewed by searching Scopus, Science Direct, PubMed, Ebsco, Coochrane, Medline Complete, Ovid, Springer Link, Google Scholar, Taylor & Francis, PsychInfo databases, national thesis center and Ulakbim databases; ten studies appropriate to the criteria were included in the study. A total of 524 patients (152 males) underwent bariatric surgery were included in study. Sexual function has been found to improve in all the studies. Also weight loss has been shown to have positive effects on reproductive hormones in both sexes. Bariatric surgery has positive effects on weight-loss and consequently on sexual function and reproductive hormones.

Keywords:

sexuality, bariatric surgery, obesity, morbid,

PDF

___

1. Flegal KM, Carroll MD, Kit BK, Ogden CL.Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010.JAMA. 2012 Feb 1;307(5):491-7.
2. Mihalca R, Fica S. The impact of obesity on the male reproductive axis. J Med Life. 2014 Jun 15;7(2):296-300. Epub 2014 Jun 25.
3. World Health Organization (WHO). (2014). Obesity And Overweight. http://www.who.int/gho/ncd/risk_factors/obesity_text/en/. Delivery date: 22.06.2015 .
4. Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among United States adults, 1999–2008. JAMA. 2010;303(3):235-241.
5. Penno A, Kolankiewcz ACB, Rosanelli CSP, Loro MM, Stumm EMF, Gomes JS. Bariatric Surgery: A choice to ımprove the quality of life. J Nurs UFPE on line.2012 Apr;6(4):794-800.
6. Corona G, Rastrelli G, Monami M, Saad F, Luconi M, Lucchese M, Facchiano E, Sforza A, Forti G, Mannucci E, Maggi M. Body weight loss reverts obesity-associated hypogonadotropic hypogonadism: a systematic review and meta-analysis. Eur J Endocrinol. 2013. May 2;168(6):829-43. doi:10.1530/EJE-12-0955.Print 2013 Jun.
7. Mora M, Aranda GB, de Hollanda A, Flores L, Puig-Domingo M, Vidal J. Weight loss is a major contributor to improved sexual function after bariatric surgery. Surg Endosc. 2013 Sep;27(9):3197-204. doi: 10.1007/s00464-013-2890-y. Epub 2013 Apr 24.
8. Sarwer DB, Spitzer JC, Wadden TA, Mitchell JE, Lancaster K, Courcoulas A, Gourash W, Rosen RC, Christian NJ. Changes in sexual functioning and sex hormone levels in women following bariatric surgery. JAMA Surg. 2014 Jan;149(1):26-33. doi: 10.1001/jamasurg. .2013.5022.
9. Thabet JB, Sallemi R, Bouali MM, Charfi N, Charfi N, Zouari L, Zouari N, Abid M, Maâlej M, Ayadi S. Obesity, body image and sexual life: a comparative study of 40 cases. European Psychiatry, 2013;28(Supplement 1):1. ISSN 0924-9338, http://dx.doi.org/10.1016/S0924-9338(13)77201-8.
10. Kinzl JF, Tretalt E, Fiala M, Hotter A, Biebl W, Aigner F. Partnership, Sexuality, and Sexual Disorders in Morbidly Obese Women: Consequences of Weight Loss After Gastric Banding. Obes Surg. 2001 Aug;11(4):455-8.