rectovaginal examination
Pronunciation: rek-to-VAJ-i-nal
Physical examination technique using one finger in the vagina and one in the rectum to assess pelvic structures.
Full Definition
A rectovaginal examination is a specialized gynecological examination technique where the examiner places one finger in the vagina and another in the rectum simultaneously. This bimanual technique allows assessment of the posterior uterus, uterosacral ligaments, rectovaginal septum, and pouch of Douglas (rectovesical pouch). It is particularly useful for evaluating suspected endometriosis, pelvic masses, or other pathology in the posterior pelvis. The examination requires specific consent and careful explanation to patients.
Usage
Usage note: Requires specific consent; often abbreviated as RV exam in clinical notes.
In Context
- "Rectovaginal examination revealed tender nodularity in the pouch of Douglas consistent with endometriosis." — Physical examination findings
- "The rectovaginal examination was deferred at the patient's request during this visit." — Clinical documentation