Pelvic congestion syndrome and embolization of pelvic varicose veins.

Mateus Picada Corrêa,Rafael Stevan Noel,Jaber Nashat Saleh,Larissa Bianchini,Julio Cesar Bajerski

doi:10.1590/1677-5449.190061

Mateus Picada Corrêa, Rafael Stevan Noel + Show 3 more

Open Access

https://doi.org/10.1590/1677-5449.190061

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Abstract

Pelvic congestion syndrome (PGS) is defined as chronic pelvic pain for more than 6 months associated with perineal and vulvar varicose veins caused by reflux or obstruction in gonadal, gluteal, or parauterine veins. PGS accounts for 16-31% of cases of chronic pelvic pain, and is usually diagnosed in the third and fourth decades of life. Interest in this condition among vascular surgeons has been increasing over recent years because of its association with venous insufficiency of the lower limbs. Despite its significant prevalence, PGS is still poorly diagnosed in both gynecology and angiology offices. Therefore, in this article we review the etiology and diagnosis of this condition and the outcomes of the different types of treatment available.

Highlights

The existence of pelvic varicose veins was first described by Richet, in 1857, and the term pelvic venous congestion syndrome was coined by Taylor[1] in 1949
We review etiology and diagnosis of this pathology and the results of the several different types of treatment available.[4]
The association between Pelvic congestion syndrome (PCS) and lower limb venous insufficiency was demonstrated in a study conducted in Turkey, which showed that PCS was the cause of chronic pelvic pain in 30% of 100 consecutive patients, and that 70% of these cases had symptoms of lower limb venous insufficiency, with reflux of the common femoral vein being the most frequent finding.[20]

Summary

Introduction

The existence of pelvic varicose veins was first described by Richet, in 1857, and the term pelvic venous congestion syndrome was coined by Taylor[1] in 1949.Pelvic congestion syndrome (PCS) is defined as chronic pelvic pain for more than 6 months combined with varicose veins of the perineum or vulva, resulting from reflux or obstruction of the gonadal, gluteal, or parauterine veins.

Results

Conclusion