Recto vaginal exam. Bimanual Exam Figure 1.
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Use a sweeping motion with your internal fingers to assess the face of the cervix for masses.
This constant pressure just perpetuated more self-judgement and scrutiny.
Based on the surgical findings, cul-de-sac disease was common, including uterosacral nodularity 5.
Conclusion Remove your fingers, re-drape the patient, and remove your gloves out of the patient's sight as there may be visible discharge or stool.
The accuracy of rectovaginal examination in detecting cul-de-sac disease under ideal circumstances of the operating room was studied.