<unk>  is an endoscopic procedure performed to examine the rectouterine pouch and pelvic viscera by the introduction of a<unk>  through the posterior vaginal wall. The word<unk>  (and<unk>  is derived from the term cul-de-sac, which means literally in French "bottom of a sac", and refers to the rectouterine pouch (or called the pouch of Douglas). The<unk>  is a non-flexible endoscope, basically a modified laparoscope. A trocar is first inserted through the vagina into the posterior cul-de-sac, the space behind the cervix, allowing then the entry of the<unk> . Due to the position of the patient intestines fall away from the pelvic organs which can then be inspected. Conditions diagnosable by<unk>  include tubal adhesions (causing sterility), ectopic pregnancy, and salpingitis.<unk>  allows the performance of minor procedures such as tubal sterilization.<unk>  is performed with the patient in a knee chest position under local or general anesthesia. There is no insufflation of the abdomen as necessary in laparoscopy. There is no abdominal incision, the entry point in the vagina is closed with a suture. The procedure was inaugurated by Albert Decker in 1939 and became popular after his reported experience in 1944. Decker had his<unk>  made by American Cystoscope Makers (ACM). He published a textbook about<unk>  in 1952. The use of<unk>  faded in the 1970s as the laparoscopic approach was recognized to be superior due to technological advancements.
Culdoscopy
Culdocentesis
Culdoscope
Frozen pelvis
Transperineal biopsy
Ductoscopy
Uroscopy
Genitography