Transvaginal NOTES cholecystectomy in my partner? No way!

Abstract

Introduction: Natural orifice transluminal endoscopic surgery (NOTES) transvaginal cholecystectomy is being intensively studied. A few studies have been recently published evaluating patients' attitude towards NOTES with its individual accesses. However, the choice of a transvaginal access with its potential influence on sex life and fertility is not restricted entirely to women. The sexual partner would at least give his opinion or decide together with the woman. Aim: The aim of the study was to assess the attitude of male sexual partners of potential NOTES transvaginal patients towards the surgical access. Material and methods: Hundred males were asked for their opinion in a specially designed instrument. Results: The general attitude of male sexual partners of potential NOTES transvaginal cholecystectomy patients is negative. With several possible problems and complications feared by the partners, they would mostly oppose or dissuade against NOTES transvaginal cholecystectomy. The cosmetic benefit seems not to justify undergoing a novelty procedure with potential complications threatening sexual life and procreation. This attitude was especially observed in young, sexually active males with high appreciation of sexual life. Conclusions: Both scientific and educational efforts are required to prove safety and efficiency of NOTES transvaginal cholecystectomy beyond question.