There may be an uncomfortable, cramping feeling when the cervix is grasped. There is a sharp brief pain as the needle is inserted.
GENERAL MEASURES
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Culdocentesis
Description:
Culdocentesis is a procedure that checks for abnormal fluid by inserting a long, thin needles through the "cul-de-sac" (French for "bottom of [a] sack") vaginal wall (the rectouterine pouch called the pouch of Douglas) located in the space deep in the vagina behind and under the cervix. A sample is taken of any fluid found in the space and the needle is then withdrawn.
Purpose:
This procedure is done when pain occurs in the lower abdomen and pelvic regions, and other tests suggest that fluid may be present in the cul-de-sac. This test is now performed infrequently because of the availability and effectiveness of ultrasound examinations to detect fluid in the cul-de-sac. Investigation of possible ailments in the abdomen and pelvis include:
· Bleeding inside the lower pelvic cavity.
Materials/ Equipments needed:
· Speculum
· Tenaculum
· 10-ml syringe
INFORMED CONSENT:
A consent form for culdocentesis should include the purpose of the procedure, explanation of what will happen in understandable terms, risks and complication, alternatives, and possible outcomes
Procedure:
You may be asked to walk or sit for a short time before the test is done.
A speculum is inserted into the vagina to hold it open.
A pelvic exam is usually performed.
The rear lip of the cervix is grasped with an instrument raised slightly.
A local anesthetic may be 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.
Diagram/ Illustration:
Nursing Responsibilities:
POST PROCEDURE CARE
You may need someone to take you home after the procedure if you were given a sedative.
Resume your usual activities as soon as possible.
Continue to use your usual birth control methods. Your periods should not be disturbed.
Use sanitary pads for your next menstrual period. Avoid tampons temporarily; they may lead to infection.
MEDICATION
According to diagnosis.
You may use non-prescription drugs, such as acetaminophen, to relieve minor pain.
ACTIVITY
Resume normal activities gradually. Resume sexual relations when able. This will depend on various underlying causes.
DIET
No special diet. However, a nutritious dietary plan should be followed to build and maintain a healthy immune system and assist in healing.
You experience vaginal bleeding that soaks more than 1 pad or tampon each hour.
Symptoms recur or worsen.
You have any signs and symptoms of infection: fever, body aches, headache, general ill feeling.
Reference:
Categories:
Procedures