You have probably read about natural orifice cholecystectomy and appendectomy or removal of the gallbladder or appendix without an abdominal wall incision. These procedures have been limited to women because the natural orifice through which the surgery is performed and the diseased organ is removed has heretofore been the vagina.
The author of the first large study of transvaginal appendectomy, Dr. Kurt E. Roberts of Yale Medical School said men would need to have surgery through the stomach or rectum and quipped, “Finally, an advantage for women"
But now via Presse-Agentur Österreich (Austrian Press Agency) comes a report from the Schweinsteiger Institut für Experten-Chirurgie (Institute for Expert-Surgery) in Vienna of minimally invasive gallbladder surgery in three men. The natural orifice employed was the urinary bladder via the penis.
The men had elective surgery for chronic symptoms of right upper abdominal pain and gallstones. They are said to have tolerated the operations well and were discharged home within three hours of completion of their cases.