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[Pelvic congestion syndrome].

Barbara Ney1, Cécile Diserens2, Yvan Vial2

  • 1Service d'angiologie, Département cœur-vaisseaux, CHUV, 1011 Lausanne.

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|October 28, 2020
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Summary
This summary is machine-generated.

Pelvic congestion syndrome, characterized by chronic pelvic pain and pelvic varicose veins in women, is often underdiagnosed. Pelvic vein embolization is frequently necessary when conservative treatments fail to alleviate symptoms.

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Area of Science:

  • Gynecology
  • Vascular Medicine
  • Radiology

Background:

  • Pelvic congestion syndrome (PCS) is a significant cause of chronic pelvic pain in premenopausal women.
  • It is characterized by the presence of pelvic varicose veins.
  • PCS remains underdiagnosed, often due to a lack of awareness and specific diagnostic criteria.

Purpose of the Study:

  • To summarize the diagnostic modalities and treatment options for pelvic congestion syndrome.
  • To highlight the importance of recognizing PCS as a cause of chronic pelvic pain.
  • To emphasize the role of interventional radiology in managing PCS.

Main Methods:

  • Diagnosis relies on imaging techniques after excluding other potential causes of pelvic pain.
  • Echography (ultrasound) is the primary diagnostic tool.
  • Pelvic venography may be used for detailed assessment of pelvic varicosities.

Main Results:

  • Chronic pelvic pain lasting over 6 months is a key symptom.
  • Pelvic varicose veins are consistently found in affected premenopausal women.
  • Conservative management strategies are frequently insufficient for symptom relief.

Conclusions:

  • Pelvic congestion syndrome is an underdiagnosed condition requiring increased clinical suspicion.
  • Effective diagnosis involves exclusion of other pathologies and appropriate imaging, with ultrasound as the first-line modality.
  • Pelvic vein embolization is a crucial and effective treatment option for improving symptoms when conservative measures fail.