ABSTRACT
The surgical treatment of endometriotic nodules behind the cervix and in the rectovaginal septum is aimed at removing the deeply infiltrating fibromuscular and abnormal glandular tissue in order to relieve pelvic pain, particularly dyspareunia and perimenstrual dyschezia. The laparoscopic approach to the rectovaginal septum is difficult and potentially dangerous. We describe a new mode of access to the rectovaginal septum using a combination of colposcopy and laparoscopy that is potentially quicker and safer to carry out.
