scholarly journals The relation between pelvic varicose veins and lower extremity venous insufficiency in women with chronic pelvic pain

2012 ◽  
Vol 95 (4) ◽  
pp. 215 ◽  
Author(s):  
A Bora ◽  
S Avcu ◽  
H Arslan ◽  
E Adali ◽  
MD Bulut
Keyword(s):  
Lower Extremity ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Venous Insufficiency ◽  
Varicose Veins

Systematic review and meta-analysis of endovascular and surgical revascularization for patients with chronic lower extremity venous insufficiency and varicose veins

2018 ◽  
Vol 196 ◽  
pp. 131-143 ◽  
Author(s):  
Sreekanth Vemulapalli ◽  
Kishan Parikh ◽  
Remy Coeytaux ◽  
Victor Hasselblad ◽  
Amanda McBroom ◽  
...  
Keyword(s):  
Systematic Review ◽  
Lower Extremity ◽  
Venous Insufficiency ◽  
Varicose Veins ◽  
Meta Analysis ◽  
Surgical Revascularization

Evaluation of treatment of chronic pelvic pain in women with pelvic varicose veins

2016 ◽  
pp. 90-92
Author(s):  
S.O. Ostafiychuk ◽  
◽  
N.I. Henyk ◽  
N.V. Drohomyretska ◽  
P.R. Volosovsky ◽  
...  
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Varicose Veins ◽  
Peak Systolic Velocity ◽  
Reproductive Age ◽  
Daily Activities ◽  
Moderate Intensity ◽  
Control Group ◽  
Internal Diameter ◽  
Internal Iliac

The objective: of our study was to evaluate the effectiveness of therapy of chronic pelvic pain (CPP) in women with pelvic varicose veins (PVV). Patients and methods. The study involved 62 women of reproductive age with CPP and PVV. Patients have received Normoven («Kyiv Vitamin Factory») in a dose 500 mg 2 times a day per os courses of 14 days each month for six months. To prevent recurrence of pain 30 women were prescribed the same drug prophylactically during 3 months after the basic course with repetition after 3 months. 32 patients did not receive Normoven as an prevention. The control group consisted of 30 healthy women. All women conducted clinical and laboratory examination, ultrasound and Doppler to determine the internal diameter ovaric, uterine, arcuate and internal iliac veins (cm), and the definition of peak systolic velocity of blood flow in the uterine veins (cm/s). Pain was assessed by Pain Assessment Scales. The resulting digital material were treated statistically using the program Microsoft Excel 2000 and Statistica 5.11. Results. We found that most of women were limited their daily activities, half have had sleep disorders, almost half was depressed, emotional lability with frequent changes of mood was observed in 79.0%, and a third of women were in depression. Most women feel cramping, aching and tender of pain of moderate intensity (82.2%). After 6 months of treatment with Normoven we noticed complete reduction of pain in 67.7% of women, in most women improved sleep, mood and normalization of daily activities. One-third of patients remained periodic light intensity pain. There was a significant decrease in pain intensity (p<0.05), which accoding to VAS score was 1.50±1.3 points. Conclusions. Periodic preventive courses of Normoven allowed to prevent recurrence of congestive pelvic syndrome and pelvic pain in 90.0% of patients. Key words: chronic pelvic pain, varicose veins of the pelvis, Normoven.

scholarly journals Pelvic congestion syndrome as a cause of chronic pelvic pain

2021 ◽  
Vol 15 (4) ◽  
pp. 451-460
Author(s):  
N. Yu. Novikova ◽  
V. I. Tsibizova ◽  
P. D. Puzdriak ◽  
E. V. Komlichenko ◽  
I. G. Tsnobiladze ◽  
...  
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Varicose Veins ◽  
Venous Pressure ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Pelvic Pain Syndrome ◽  
Clinical Criteria ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Congestion

Altered pelvic venous circulation, which may occur due to pelvic venous congestion and varicose veins of the vulva, may be among the causes for developing chronic pelvic pain syndrome. Pelvic congestion syndrome (PCS) is characterized by chronic discomfort in the pelvic area, which may be aggravated during coitus or acquire orthostatic position, and result in severe dysfunction of the pelvic organs. Varicose veins of the vulva develop due to obstruction of the veins, increased venous pressure, and venous insufficiency in the pelvis. Varicose veins may be isolated or associated with varicose veins of the lower extremities. The diagnosis and treatment of such patients are limited by the lack of definitive clinical criteria for early diagnostics, which were discussed in the current study.

Endovascular treatment of secondary varicose veins of the pelvis in men with chronic pelvic pain syndrome

Urologiia ◽  
2021 ◽  
Vol 2_2021 ◽  
pp. 46-50
Author(s):  
O.U. Berlizeva Berlizeva ◽  
I.A. Aboyan Aboyan ◽  
A.V. Amosov Amosov ◽  
E.E. Usenko Usenko ◽  
S.M. Pakus Pakus ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Varicose Veins ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Pelvic Pain Syndrome

scholarly journals Varicose Veins and Lower Extremity Venous Insufficiency

2018 ◽  
Vol 35 (01) ◽  
pp. 056-061 ◽  
Author(s):  
Eric DePopas ◽  
Matthew Brown
Keyword(s):  
Lower Extremity ◽  
Clinical Diagnosis ◽  
Saphenous Vein ◽  
Venous Insufficiency ◽  
Great Saphenous Vein ◽  
Varicose Veins ◽  
Ultrasonographic Diagnosis

AbstractLower extremity venous insufficiency and varicose veins are common conditions, affecting up to 25% of women. Herein, we review the pathophysiology of lower extremity venous insufficiency and varicose veins, the epidemiology of varicose veins, clinical diagnosis, and ultrasonographic diagnosis. We also discuss treatment rationale, algorithms, and techniques, with a focus on endovenous great saphenous vein ablation.

Prevalence and management of ovarian venous insufficiency in the presence of leg venous insufficiency

2007 ◽  
Vol 22 (1) ◽  
pp. 29-33 ◽  
Author(s):  
R Sutaria ◽  
A Subramanian ◽  
B Burns ◽  
H Hafez
Keyword(s):  
Lower Extremity ◽  
Lower Limb ◽  
Venous Insufficiency ◽  
Varicose Veins ◽  
Vena Cava ◽  
Vascular Surgeon ◽  
Venous Surgery ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Superficial Venous Insufficiency

Objective: The correlation between ovarian venous insufficiency and lower limb venous insufficiency remains poorly understood. Clinically, incompetent ovarian veins in association with lower extremity varicose veins are suspected when leg varicose veins are found in atypical distributions. Such distributions include upper lateral or posterior thigh, on the buttocks, crossing the inguinal ligament, and also in the vulval or perineal regions. The aim of this study was to determine the prevalence of ovarian venous insufficiency in those with clinically suspicious varicose veins, and to assess the effectiveness of ovarian venous embolization/ligation in treating this condition. Methods: Between June 2001 and December 2004, 424 female patients with lower limb superficial venous insufficiency were seen by a single vascular surgeon. These patients were clinically assessed, and those with atypical varicose veins were investigated with venous duplex examination and magnetic resonance imaging (MRI) venography. Patients with proven ovarian venous insufficiency were offered venography with a view to embolization or laparoscopic ligation. Results: A total of seven patients were clinically suspected of having ovarian venous insufficiency, of which three had recurrent varicose veins (42.9%). Of these, six were confirmed on MRI venography with the left side being more affected than the right; one of them had an occluded vena cava, three were treated by embolization, and two had laparoscopic ligation. Discussion: The prevalence of clinically detectable ovarian venous insufficiency in association with lower extremity varicose veins is in the region of 1.65%. Compared with the estimated prevalence of incidental ovarian venous insufficiency of 10–47%, this suggests that only a minority of incompetent ovarian veins will present with clinically detectable lower limb venous insufficiency. In our opinion, patients with signs suggestive of ovarian venous insufficiency in association with lower limb venous insufficiency should have their ovarian insufficiency controlled prior to embarking on limb venous surgery.

scholarly journals Optimization of the tactics of endovascular treatment of chronic pelvic pain syndrome caused by varicous diseases of the pelvic veins in women

2020 ◽  
Vol 33 (3) ◽  
pp. 39-55
Author(s):  
I.V. Altman
Keyword(s):  
Endovascular Treatment ◽  
Pelvic Pain ◽  
Selection Criteria ◽  
Chronic Pelvic Pain ◽  
Varicose Veins ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Treatment Result ◽  
Pelvic Pain Syndrome ◽  
Venous Plexus

Objective – to improve the selection criteria and the algorithm for examining patients with chro-nic pelvic pain syndrome caused by varicose pelvis veins. Optimize the technique of embolization of ovarian veins and veins of the pelvic venous plexus, to improve the results of endovascular treatment and prevent possible complications that may arise during the embolization procedure.Materials and methods. The analysis of 24 sources of scientific and medical literature on the problem of etiology, pathogenesis, diagnostic and endovascular treatment of chronic pelvic pain syndrome in women by embolization of ovarian veins and veins of the pelvic venous plexus. The authors present their own results of endovascular treatment of 31 patients with varicose veins of the small pelvis and ovarian veins.Results. The improved patient selection criteria based on careful history taking, preoperative confirmation of ovarian and pelvic varicose veins. The technique of phlebographic examination, embolization of ovarian veins and veins of the pelvic venous plexus was optimized. The causes of complications that arise during the embolization procedure have been analyzed. Practical recommendations for endovascular surgeons are given for the prevention of such complications in the future.Conclusions. The failure of the ovarian and pelvic veins underlies the etiology of pelvis veins varicose. Pain syndrome against the background of pelvis veins varicose is the main reason for referring to gynecologists in 10–30 % of cases. Selective phlebography of the ovarian and pelvic veins has become the gold standard in the diagnosis of venous pelvic insufficiency, since only this technique is most likely to show the connection between the incompetent ovarian and internal iliac veins. Conservative therapy of pelvic congestion syndrome often turns out to be ineffective, and surgical approaches do not exclude organ loss. Endovascular surgery showed a disappearing or decrease in the clinical manifestations of chronic pelvic pain syndrome by up to 94 %, while maintaining a positive treatment result for up to 12–36 months. The main complication during embolization is the migration of the coils to the right heart and pulmonary artery. Careful adherence to the embolization technique, the correct selection of the length and diameter of the coil can minimize the occurrence of embolic complications and improve the results of treatment of chronic pelvic pain syndrome.

scholarly journals Pelvic venous insufficiency — an often-forgotten cause of chronic pelvic pain

2020 ◽  
Vol 91 (11) ◽  
pp. 704-708
Author(s):  
Jacek Szymanski ◽  
Grzegorz Jakiel ◽  
Aneta Slabuszewska-Jozwiak
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Venous Insufficiency ◽  
Pelvic Venous Insufficiency
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