Pelvic Congestion Syndrome and Pelvic Varicosities

Sonya Koo, Chieh Min Fan

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Pelvic venous insufficiency (PVI), defined as retrograde flow in the gonadal and internal iliac veins, is the underlying cause of pelvic congestion syndrome (PCS), a common cause of disabling chronic pelvic pain in women of child-bearing age. PCS is a chronic pain syndrome characterized by positional pelvic pain that is worse in the upright position and is associated with pelvic and vulvar varicosities as well as symptoms of dyspareunia and postcoital pain. Through collaterals to the lower extremity venous system, PVI may also contribute to varicose vein formation and recurrence in the lower extremities. Endovascular embolization of the ovarian and internal iliac veins has become the treatment of choice for PVI and PCS. This article reviews the pelvic retroperitoneal venous anatomy, pathophysiology of PCS, treatment options and techniques, and clinical outcomes of embolotherapy for PCS.

Original languageEnglish (US)
Pages (from-to)90-95
Number of pages6
JournalTechniques in Vascular and Interventional Radiology
Volume17
Issue number2
DOIs
StatePublished - 2014

Fingerprint

Venous Insufficiency
Iliac Vein
Pelvic Pain
Chronic Pain
Lower Extremity
Therapeutic Embolization
Dyspareunia
Varicose Veins
Anatomy
Recurrence
Pain
Therapeutics

Keywords

  • Embolization
  • Pelvic pain
  • Venous insufficiency

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

Pelvic Congestion Syndrome and Pelvic Varicosities. / Koo, Sonya; Fan, Chieh Min.

In: Techniques in Vascular and Interventional Radiology, Vol. 17, No. 2, 2014, p. 90-95.

Research output: Contribution to journalArticle

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