Before laparoscopy, culdoscopy had a reputation as being a good diagnostic aid for women who were suffering from endometriosis or infertility- Laparoscopy has gained favor as the better tool for two reasons: the use of carbon dioxide allows a dearer view of abdominal organs (culdoscopy uses no gas), and a greater number of other techniques are possible during the procedure. Culdoscopy has a few shortcomings, but is an accepted diagnostic procedure and may still be used from time to time by practitioners who are, it is hoped, experienced at it.
Culdoscopy can be a somewhat tricky procedure, requiring experience and skill. A small incision is made in the vaginal wall into the abdominal cavity and a pcriscopelike instrument if inserted through it, offering a view of the uterus, ovaries, and the fallopian tubes. To make ‘hat incision, a woman must remain in a slightly awkward position that requires some other conscious control and cooperation. Because of this positioning, she is not put under general anesthesia.
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