title: Remission of female sexual dysfunction in morbidly obese female patients with the Scopinaro procedure.
abstract: 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.
  
  
  OBJECTIVE
  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.
  
  
  CONCLUSIONS
  FSD improved significantly 6 months after biliopancreatic diversion among obese women with preoperative sexual dysfunction and continued improving up to 12 months later.
authors.affiliation: General Surgery Service of the Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Spain.
authors.forename: Juan R
authors.initials: JR
authors.lastname: Hernández Hernández
authors.forename: Eudaldo
authors.initials: E
authors.lastname: López-Tomassetti Fernández
authors.forename: Yurena
authors.initials: Y
authors.lastname: Caballero Díaz
authors.forename: Jesus
authors.initials: J
authors.lastname: Molina Cabrillana
authors.forename: Dieter
authors.initials: D
authors.lastname: Morales García
authors.forename: Valentin
authors.initials: V
authors.lastname: Núñez Jorge
mesh_terms: D000328:Adult; D000367:Age Factors; D015904:Biliopancreatic Diversion / Q000379:methods*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery*; D011446:Prospective Studies; D011581:Psychological Tests; D020127:Recovery of Function / Q000502:physiology*; D015203:Reproducibility of Results; D018570:Risk Assessment; D012720:Severity of Illness Index; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery; D013030:Spain; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss; D055815:Young Adult
keywords: Bariatric surgery; Biliopancreatic diversion; Female Sexual Function Index; Sexual dysfunction; Women