title: Pure natural orifice translumenal endoscopic surgery (NOTES) transvaginal nephrectomy.
abstract: Natural orifice translumenal endoscopic surgery (NOTES) within urology has largely been limited to experimental animal studies and diagnostic procedures in humans. Attempts to complete a pure NOTES transvaginal nephrectomy have thus far been unsuccessful. We report the first clinical experience with pure NOTES transvaginal nephrectomy. A 58-year-old woman presented with recurrent urinary tract infections and an atrophic right kidney. Transvaginal access was obtained through a 3-cm posterior colpotomy. The right kidney was mobilized, the renal hilum was divided, and the specimen was removed through the vaginal incision. Operative time was 420 min. Estimated blood loss was 50 ml. There were no perioperative complications.
authors.affiliation: Center for Laparoscopic and Robotic Surgery, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA. kaoukj@ccf.org
authors.forename: Jihad H
authors.initials: JH
authors.lastname: Kaouk
authors.forename: Georges-Pascal
authors.initials: GP
authors.lastname: Haber
authors.forename: Raj K
authors.initials: RK
authors.lastname: Goel
authors.forename: Sebastien
authors.initials: S
authors.lastname: Crouzet
authors.forename: Stacy
authors.initials: S
authors.lastname: Brethauer
authors.forename: Farzeen
authors.initials: F
authors.lastname: Firoozi
authors.forename: Howard B
authors.initials: HB
authors.lastname: Goldman
authors.forename: Wesley M
authors.initials: WM
authors.lastname: White
mesh_terms: D001284:Atrophy; D020884:Colpotomy; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D010535:Laparoscopy; D008875:Middle Aged; D057605:Natural Orifice Endoscopic Surgery; D009392:Nephrectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome