BEKİR ARAS, Serkan AKAN, Aytaç ŞAHİN, Çağlar YILDIRIM, Özgür Haki YÜKSEL, Mehmet TİMUÇİN AYDIN, Fatih URUÇ, Fatih URUÇ

Obezite cerrahisinin erkeklerde cinsel yaşam, depresyon ve yaşam kalitesi üzerine olan etkileri

Amaç: Obezite, cinsel yaşam kalitesinin yanında genel yaşam kalitesini de düşüren bir bozukluktur. Bariatrik cerrahi, obezite ve eşlik eden komorbiditeler için en etkili tedavi yöntemidir ve medikal tedavilerden de üstündür. Bununla birlikte, bariatrik cerrahinin cinsel yaşam kalitesi üzerine etkilerini inceleyen yeterli sayıda çalışma bulunmamaktadır. Biz bu çalışmamızda bariatrik cerrahinin, özellikle daha sık uygulanan laparoskopik sleeve gastrektomi (LSG) tekniğinin cinsel işlevler, depresyon ve yaşam kalitesi üzerine etkilerini araştırmayı amaçladık. Gereç ve Yöntem: Kliniğimizde Nisan 2014 ile Mart 2015 tarihleri arasında LSG yapılan, dışlama kriterleri sonrasında uygun bulunan toplamda 22 erkek hasta çalışmaya dahil edildi. Hastaların yaş, boy, kilo ve beden kitle indeksi (BKİ) verileri ile operasyon öncesi IIEF (Uluslararası Erektil Fonksiyon İndeksi), BECK (Hastalar için Beck depresyon ölçeği), SF-36 (Yaşam kalitesi indeksi) dolduruldu ve sonuçları kaydedildi.Ayrıca, operasyondan sonra hastaların kilo verme miktarları ve BKİ düşüşleri tespit edildi. Bulgular: Preoperatif dönem ile karşılaştırıldığında postoperatif dönemde erektil ve orgazmik fonksiyon, cinsel ilişki ve genel yaşam tatminliği, PCS ve MCS skorlarında anlamlı derecede artış saptandı. İki dönem arasında cinsel istek ortalamaları arasında istatistiksel olarak anlamlı bir farklılık gözlenmedi.Postoperatif dönemde BECK depresyon ölçeği puanlarında anlamlı azalmalar saptandı. Sonuç: Biz bariatrik cerrahinin kilo kontrolü sağlanmasının yanında erkeklerde cinsel fonksiyon ve yaşam kalitesinin arttırılmasında da faydası olduğunu düşünüyoruz.

Effects of obesity surgery on sexual function, depression and quality of life of males

Background: Obesity decreases the quality of sexual life as well as the overall quality of life. Bariatric surgery is the most effective treatment method for obesity, it is better than the medical treatment options. However, there is not sufficient number of studies about the effects of bariatric surgery on the quality of sexual life yet. Aims: So we aimed to research about the effects of bariatric surgery, the laparoscopic sleeve gastrectomy (LSG) method which is being more and more often applied, on the sexual functions, depression and quality of life in our study. Materials and Methods: Out of all patients who had LSG surgery due to obesity earlier in our center, 22 applicable male patients were taken under research after a brief exclusion criteria application. Age, height, weight,body mass index (BMI) data of these patients were recorded before the operation. IIEF, Beck depression inventory Short form-36 were filled for the patients. Also, the weight loss amounts and BMI decreases of the patients after the operation were recorded. Results: Statistically meaningful increases were observed in the post-operation Erectile, Orgasmic Function, Intercourse Satisfaction, Overall satisfaction, PCS-MCS scores compared to the pre-operation. No statistically meaningful change was observed in the post-operation sexual desire averages when compared to preoperation. When compared with the pre-operation values; meaningful decreases were detected in the post-operation BECK depression inventory scores. Conclusion: We think that the bariatric surgery not only causes serious amount of weight loss, but also enhances the sexual function and the quality of life among males.

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