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Bariatric Surgery and Sperm Quality

Not Applicable
Completed
Conditions
Obesity
Bariatric Surgery
Interventions
Other: Blood and sperm samples
Registration Number
NCT01842295
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Brief Summary

The purpose of this study is to evaluate the impact of a bariatric surgery (gastric banding, bypass, sleeve gastrectomy) on several parameters (quality of sperm and others biological parameters, lifestyle, quality of life) involved in fertility of obese adult men.

Detailed Description

In order to assess how bariatric surgery may influence their fertility parameters, patients will attend to 3 visits :

First visit (inclusion, before surgery) :

* Signature of consent

* Patient interview (Collection of data on background, treatments, socio-demographic characteristics, social and familial environment, food consumption and habits, tobacco and alcohol use, physical activity, libido and quality of life (surveys))

* Clinical examination and anthropometric assessment (BMI, blood pressure, expired CO)

* Blood samples (Metabolic and nutritional plasmatic biomarkers ; Plasmatic oxidative stress biomarkers ; antioxidants micronutrients ; hormones of adiposity and inflammation ; sex hormones ; persistent contaminants)

* Sperm sample (sperm count-morphology ; DNA fragmentation ; CASA)

Bariatric surgery

Second visit (6 month follow-up)

* Report of adverse events if any

* Surveys

* Blood and sperm samples

Third visit (12 month follow-up)

* Report of adverse events if any

* Blood and sperm samples

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
46
Inclusion Criteria
  • Obese men with BMI ≥ 40kg/m² or 35 kg/m² with associated co-morbidities
  • Selected for bariatric surgery by multidisciplinary team
  • From 18 to 50 years old included
  • With a first medical consultation and its results
  • With their written informed consent to participate in the study
  • No problem for understanding verbal or written French
  • An affiliation to social security
Exclusion Criteria
  • Not candidates for surgery
  • With non idiopathic alteration of spermatogenesis

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Bariatric surgeryBlood and sperm samplesObese men with associated co-morbidities selected for bariatric surgery by multidisciplinary team
Primary Outcome Measures
NameTimeMethod
Number of total spermatozoids (NTS) variation6 months after surgery

Comparison before/after surgery

Secondary Outcome Measures
NameTimeMethod
Evaluation of environmental parameters : quality of life6 months and 1 year after surgery

Comparison before/after surgery

Number of total spermatozoids (NTS) variation1 year after surgery

Comparison before/after surgery

Effect of biological parameters on NTS variation6 months and 1 year after surgery

Comparison before/after surgery and search of correlation

Other spermatic parameters : DNA fragmentation6 months and 1 year after surgery

Comparison before/after surgery

Evaluation of environmental parameters : libido6 months and 1 year after surgery

Comparison before/after surgery

Evaluation of environmental parameters : physical activity6 months and 1 year after surgery

Comparison before/after surgery

Other spermatic parameters : CASA6 months and 1 year after surgery

Comparison before/after surgery

Effect of anthropometric parameters on NTS variation6 months and 1 year after surgery

Comparison before/after surgery and search of correlation

sperm caracteristics6 months and 1 year after surgery

Comparison before/after surgery

Evaluation of environmental parameters : tobacco consumption6 months and 1 year after surgery

Comparison before/after surgery

Trial Locations

Locations (1)

Jean Verdier Hospital

🇫🇷

Bondy, France

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