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Relationship of blood flow in the common iliac vein to lower urinary tract disease

Kimio Sugaya1,2,3, Katsumi Kadekawa4,5, Yoshihiro Unten6

  • 1Department of Urology, Kitakami Central Hospital, 631-9 Kamisedo, Chatan, Okinawa, 904-0101, Japan. sugaya@med.u-ryukyu.ac.jp.

Journal of Medical Ultrasonics (2001)
|February 10, 2019
PubMed

Insights

Lower blood flow in the common iliac vein was observed in men with chronic prostatitis and women with overactive bladder, suggesting a link to pelvic congestion and lower urinary tract symptoms.

Area of Science:

  • Urology
  • Vascular Medicine
  • Medical Imaging

Background:

  • Pelvic congestion is a potential factor influencing lower urinary tract symptoms.
  • Understanding the relationship between venous blood flow and lower urinary tract conditions is crucial for diagnosis and treatment.

Purpose of the Study:

  • To investigate the association between common iliac vein blood flow and lower urinary tract diseases.
  • To determine if pelvic congestion, indicated by altered blood flow, contributes to symptoms in conditions like chronic prostatitis and overactive bladder.

Main Methods:

  • Color Doppler ultrasonography was used to measure blood flow velocity and volume in the common iliac vein of 113 men and 60 women.
  • Data were analyzed to assess relationships with age and specific urological conditions.

Main Results:

  • No correlation was found between age and common iliac vein blood flow parameters.
  • Significantly lower average blood flow velocity was observed in men with chronic prostatitis and women with overactive bladder.
  • Reduced common iliac vein blood flow volume was noted in men with chronic prostatitis compared to controls.

Conclusions:

  • Reduced common iliac vein blood flow is associated with chronic prostatitis in men and overactive bladder in women.
  • These findings suggest that pelvic congestion may play a role in the pathophysiology of these lower urinary tract conditions.
Abstract

Keywords:
Blood flowCommon iliac veinOveractive bladderPelvic congestionProstatitis

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