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[Vulvar varices].

F Vin

    Journal Des Maladies Vasculaires
    |January 1, 1990
    PubMed
    Summary
    This summary is machine-generated.

    Vulval varicose veins, often linked to hormonal changes during pregnancy, can cause discomfort and lower limb swelling. Sclerotherapy is an effective treatment, with a 63% success rate in preventing recurrence.

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    Area of Science:

    • Vascular Surgery
    • Gynecology
    • Phlebology

    Context:

    • Vulval and vulvoperineal varicose veins are commonly associated with pregnancy due to hormonal influences.
    • These varices involve the external and internal pudendal veins, with potential collateral connections to saphenous veins.
    • Hormonal factors, including estrogen and progesterone, may contribute to the degradation of elastic tissues, predisposing to varices.

    Purpose:

    • To describe the pathophysiology, clinical presentation, and management of vulval and vulvoperineal varicose veins.
    • To evaluate the efficacy of sclerotherapy in treating these specific varices.
    • To differentiate vulval varices from other conditions like post-phlebitic syndrome.

    Summary:

    • Varices typically appear during pregnancy, often unilaterally, and may persist post-delivery.

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  • They can lead to venous reflux and contribute to varicose veins in the lower limbs.
  • Doppler ultrasonography is used to rule out deep vein involvement, while phlebography is reserved for severe cases.
  • Sclerotherapy is the primary treatment for non-pregnant patients, with surgery reserved for refractory cases.

    • Impact:

    • Sclerotherapy demonstrated a 63% success rate in preventing recurrence in isolated vulvoperitoneal varices over three years.
    • This study highlights sclerotherapy as a viable and effective treatment option for vulval varicose veins.
    • Understanding the hormonal and anatomical factors is crucial for managing this condition.