CULDOCENTESIS is a diagnostic procedure involving removal of fluid from the "cul-de-sac" (see picture) - the deep space behind the vagina and under the cervix. Laboratory examination of the removed fluid aids in diagnosis.

CULDOCENTESIS is performed to investigate suspected ailments in the abdomen and pelvis, mainly:

• Bleeding in the lower pelvic cavity
• Ruptured ectopic pregnancy
• Ruptured ovarian cyst
• Ovarian cancer
• Pelvic inflammatory disease.

It is mostly performed as a day-care procedure and under Local anesthesia.

DESCRIPTION OF OPERATION

• A speculum is inserted into the vagina to hold it open.
• The rear lip of the cervix (see picture) is raised.
• A local anesthetic is applied to the farthest back portion of the vagina (cul-de-sac).
• The posterior wall of the vagina is penetrated with a needle and syringe.
• Fluid, if present, is aspirated. No sutures are necessary.

COMPLICATIONS

Like every procedure performed in genital area, excessive bleeding, Wound infection or rarely Perforation of bladder or bowel may occur.

TREATMENT

SELF CARE

• Resume usual activities as soon as possible, if symptoms that caused the need for surgery disappear.
• Continue to use your usual birth-control methods. Your periods should not be disturbed.
• If used to tampons, avoid as they may lead to infection.

SEXUAL ACTIVITY

Resume sexual relations when able. Ask your doctor about safety.

BE ALERT FOR

• Vaginal bleeding that soaks more than 1 pad each hour.
• Recurring or worsening symptoms.