CRP and dermoid cyst: Success of procedure: 15/16 (94%)Mean ± SD operating time for culdotomy was 22 ± 11 min.Blood loss was <10 ml.Mean ± SD CRP value on postoperative day 3: 1.98 ± 1.39 mg/dl.No intraoperative complications including rectal injuryNo patient developed fever beyond postoperative day 3.Unsuccessful procedure: one woman culdotomy failed because the pressure of the puncturing needle pushed the dermoid cyst out of the cul-de-sac.