Early effect of bariatric surgery on urogenital function in morbidly obese men

Introduction: Obesity is an independent risk factor for erectile dysfunction (ED) and lower urinary tract symptoms (LUTS). Bariatric surgery has been shown to improve erectile function and urinary symptoms in previous medium to long term studies (3-12 months post-operative follow up). The aim: is to investigate the early effect (1 month post-op) of bariatric surgery on ED and LUTS which has not previously been investigated. Methods: Morbidly obese men (BMI >35 kg/m2) undergoing bariatric surgery were asked to complete International Index of Erectile Function (IIEF) and International Prostate Symptom Score (IPSS) questionnaires before the surgery and 1, 3 and 6 months after the surgery. Main outcome measure: The influence of bariatric surgery on urogenital function, BMI, fasting blood glucose (FBG) and HbA1C were analysed using parametric and non-parametric tests for paired samples. Results: Out of 30 patients who have completed the study, 18 reported erectile dysfunction (ED; IIEF