Culdoscopy is a sort of vaginal sterilization process (another type is colpotomy). Also known as transvaginal hydrolaparoscopy is considered to be minimally invasive operation. The vaginal process of tubal ligation was the preferred technique. But as it’s associated with greater risks compared to laparoscopic tubal ligation surgery, surgeons have been favoring the gut approach to transvaginal procedures.
A major benefit of a culdoscopy is that there are no abdominal incisions. Culdoscopy tends to be earmarked for women with a uterus or for obese individuals. This transvaginal process involves a small incision made to the wall. Research is showing that this method is safer than initially believed. Yet, a culdoscopy could be difficult to perform because it requires a woman to maintain a knee-to-chest position while under local anesthesia.
During a culdoscopy, an incision is made into the anterior vaginal fornix (the recess behind the cervix). A culdoscope–a sort of endoscope with a light, used to visualize female pelvic organs–is inserted through the incision to the peritoneal cavity (the space within the abdomen which includes the intestines, the stomach, and the liver). The culdoscope helps the surgeon to find the fallopian tubes. The fallopian tubes are pulled through the incision to the vagina.
The culdoscope is eliminated, and the tubes are closed off (attached, trimmed, or sealed closed ) and place back into position. The incision will then be stitched shut.
A culdoscopy takes about 15 to 30 minutes, and girls can go home the same day.
It could take a few days at home to recover. Sexual intercourse is generally postponed until the incision is completely healed, which normally takes a few weeks, and there are no visible scars.