Kobiela Jarek, Stefaniak Tomasz, Dobrowolski Sebastian, Makarewicz Wojciech, Lachiński Andrzej J, Sledziński Zbigniew
Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Poland.
Wideochir Inne Tech Maloinwazyjne. 2011 Dec;6(4):236-41. doi: 10.5114/wiitm.2011.26258. Epub 2011 Dec 20.
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.
The aim of the study was to assess the attitude of male sexual partners of potential NOTES transvaginal patients towards the surgical access.
Hundred males were asked for their opinion in a specially designed instrument.
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.
Both scientific and educational efforts are required to prove safety and efficiency of NOTES transvaginal cholecystectomy beyond question.
经自然腔道内镜手术（NOTES）经阴道胆囊切除术正在深入研究中。最近发表了一些研究，评估患者对NOTES及其不同入路的态度。然而，经阴道入路及其对性生活和生育的潜在影响的选择并不完全局限于女性。性伴侣至少会给出他的意见或与女性共同决定。
本研究的目的是评估潜在NOTES经阴道手术患者的男性性伴侣对手术入路的态度。
通过一种专门设计的工具询问了100名男性的意见。
潜在NOTES经阴道胆囊切除术患者的男性性伴侣总体态度消极。由于伴侣担心存在多种可能的问题和并发症，他们大多会反对或劝阻NOTES经阴道胆囊切除术。美容益处似乎不足以证明要接受一种可能有并发症威胁性生活和生育的新手术。这种态度在对性生活高度重视的年轻性活跃男性中尤为明显。
需要进行科学和教育方面的努力，以毫无疑问地证明NOTES经阴道胆囊切除术的安全性和有效性。
