title: Transvaginal NOTES cholecystectomy in my partner? No way!
abstract: BACKGROUND
  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.
  
  
  OBJECTIVE
  The aim of the study was to assess the attitude of male sexual partners of potential NOTES transvaginal patients towards the surgical access.
  
  
  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.
authors.affiliation: Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Poland.
authors.forename: Jarek
authors.initials: J
authors.lastname: Kobiela
authors.forename: Tomasz
authors.initials: T
authors.lastname: Stefaniak
authors.forename: Sebastian
authors.initials: S
authors.lastname: Dobrowolski
authors.forename: Wojciech
authors.initials: W
authors.lastname: Makarewicz
authors.forename: Andrzej J
authors.initials: AJ
authors.lastname: Lachiński
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Sledziński