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Remission of female sexual dysfunction in morbidly obese female patients with the Scopinaro procedure

2013; Elsevier BV; Volume: 9; Issue: 6 Linguagem: Inglês

10.1016/j.soard.2013.02.007

1878-7533

Juan Ramón Hernández Hernández, Eudaldo López-Tomassetti Fernández, Yurena Caballero Díaz, Jesús Molina Cabrillana, Dieter Morales-García, Valentín Núñez Jorge,

Menopause: Health Impacts and Treatments

Background The prevalence of obesity has increased in Spain in recent years. Obese women are at increased risk for sexual dysfunction, and important remission of this condition has been previously reported with bariatric surgery. Objectives The major aim of this study was to assess the effects of the Scopinaro biliopancreatic diversion on female sexual dysfunction (FSD) using a validated Female Sexual Function Index (FSFI). Methods Eighty sexually active women with morbid obesity and with FSD underwent surgery. All patients completed the FSFI before surgery, as well as 6 and 12 months after surgery. The FSFI evaluates the sexual function using 6 items: desire, arousal, lubrication, orgasm, satisfaction, and pain. We used a<26.5 cut-point to assess the presence of FSD. This cut-point is used as a standard for the investigation. Results Before surgery, all patients had FSD (mean 19.9±1.6). Six months after surgery, the FSD improved (mean 25.4±4.1; P<.001), and 12 months after surgery FSD resolved in most of the patients (mean 30.4±3.5; P<.001). All of the parameters evaluated by the FSFI (P<.001) improved significantly in all patients. Conclusion FSD improved significantly 6 months after biliopancreatic diversion among obese women with preoperative sexual dysfunction and continued improving up to 12 months later.