Culdoscopy
Encyclopedia
Culdoscopy is a medical diagnostic procedure performed to examine the rectouterine pouch and pelvic viscera by the introduction of a culdoscope
Culdoscope
240px|thumb|right|CuldoscopeCuldoscope is an instrument, a kind of endoscope, used to visualize female pelvic organs, introduced through the vagina into the cul-de-sac...

 through the posterior vaginal wall. The word culdoscopy (and culdoscope
Culdoscope
240px|thumb|right|CuldoscopeCuldoscope is an instrument, a kind of endoscope, used to visualize female pelvic organs, introduced through the vagina into the cul-de-sac...

) is derived from the phrase cul-de-sac
Cul-de-sac
A cul-de-sac is a word of French origin referring to a dead end, close, no through road or court meaning dead-end street with only one inlet/outlet...

, which means literally in French
France
The French Republic , The French Republic , The French Republic , (commonly known as France , is a unitary semi-presidential republic in Western Europe with several overseas territories and islands located on other continents and in the Indian, Pacific, and Atlantic oceans. Metropolitan France...

 "bottom of a sac". More accurately, the name hints to a blind pouch or cavity in the female body that is closed at one end and, in a more specific sense, refers to the rectouterine pouch (or called the pouch of Douglas
Pouch of Douglas
The rectouterine pouch is the extension of the peritoneal cavity between the rectum and back wall of the uterus in the female human body....

).

Culdoscopy is an important gynecological diagnostic technique, is gaining wide acceptance. Culdoscopy is a type of vaginal sterilization procedure. Its name is derived from the posterior cul-de-sac, a space behind the female cervix where it is possible, under local anesthesia, to insert a small illuminated telescope through which one may inspect the pelvic organs, without having to resort to a major abdominal operation, as was formerly necessary. Conditions diagnosable by culdoscopy include tubal adhesions (causing sterility), ectopic pregnancy, salpingitis, and appendicitis.

"A major advantage of a culdoscopy is that there are no abdominal incisions. Culdoscopy tends to be reserved for obese patients or for women with a retroverted uterus. This transvaginal procedure involves a small incision made into vaginal wall. Research is showing that this method is safer than originally thought. Yet, a culdoscopy may be difficult to perform because it requires a woman to be in a knee-to-chest position while under local anesthesia. A culdoscopy takes about 15 to 30 minutes, and women are able to go home the same day. It may take a few days at home to recover. Sexual intercourse is usually postponed until the incision is completely healed, which usually requires several weeks, and there are no visible scars."
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