title: What about vaginal extraction of the kidney? results of an online survey.
abstract: OBJECTIVE
  We aimed to characterize surgeons opinion about the vaginal extraction of the kidney after transperitoneal laparoscopic nephrectomy. Matherial and Methods: A 9-item questionnaire was published online (Survey Monkey TM) and publicized via email to a multidisciplinary pool of surgeons in Portugal. Data was collected and statistical analysis was performed using IBM SPSS Statistics, Version 21.0.
  
  
  RESULTS
  Three hundred and fifty nine inquiries were sent, 154 surgeons completed the questionnaires (response rate of 43.0%). Fifty five point eight percent of the participants would choose the transvaginal approach for themselves or for a close relative. The most stated arguments were a better cosmesis (29.0%) expectancy of lower post operative pain (26.0%) and lower rate of incisional hernias (23.0%). Defenders of the transabdominal procedure justified with an expectancy of lower complication rate (39%), namely impairment of sexual function and fertility (22%). The female gender and the familiarity with transvaginal surgery were the stronger predictors of the option for this approach (70.6% vs 48.5%; p=0,016 and 85.3% vs 46.6%; p <0.001 respectively).
  
  
  CONCLUSIONS
  Contrasting with similar surveys published on transvaginal NOTES, the vaginal specimen extraction after conventional laparoscopic nephrectomy was fairly accepted by the inquired surgeons.
authors.affiliation: Departamento de Urologia, Hospital de Santo António - C.H.P, Porto, Portugal.
authors.forename: João Ferreira
authors.initials: JF
authors.lastname: Cabral
authors.affiliation: Departamento de Urologia, Hospital de Santo António - C.H.P, Porto, Portugal.|Instituto de Investigação em Ciências da Vida e da Saúde - I.C.V.S, Universidade do Minho; ICVS/3B´s - PT Laboratório Associado ao Governo, Braga, Portugal.
authors.forename: Isaac Campos
authors.initials: IC
authors.lastname: Braga
authors.affiliation: Departamento de Urologia, Hospital de Santo António - C.H.P, Porto, Portugal.
authors.forename: Frederico
authors.initials: F
authors.lastname: Branco
authors.affiliation: Departamento de Urologia, Hospital de Santo António - C.H.P, Porto, Portugal.
authors.forename: Vitor
authors.initials: V
authors.lastname: Cavadas
authors.affiliation: Departamento de Urologia, Hospital de Santo António - C.H.P, Porto, Portugal.|Instituto de Ciências Biomédicas Abel Salazar - I.C.B.A.S - Universidade do Porto, Porto, Portugal.
authors.forename: Avelino Fraga
authors.initials: AF
authors.lastname: Ferreira
authors.affiliation: Departamento de Urologia, Hospital de Santo António - C.H.P, Porto, Portugal.
authors.forename: Miguel Silva
authors.initials: MS
authors.lastname: Ramos
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D009392:Nephrectomy / Q000379:methods*; D011183:Postoperative Complications; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012737:Sex Factors; D066231:Surgeons / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014621:Vagina