Comprehensive overview of the venous disorder known as pelvic congestion syndrome

Kamil Bałabuszek, Michał Toborek, Radosław Pietura

Research output: Contribution to journalReview articlepeer-review

Abstract

Pelvic venous disorders (PeVD) also known as Pelvic Congestion Syndrome (PCS) affect a great number of women worldwide and often remain undiagnosed. Gynecological symptoms caused by vascular background demand a holistic approach for appropriate diagnosis. This is a relevant cause of chronic pelvic pain and atypical varicose veins. The diagnosis is based on imaging studies and their correlation with clinical presentation. Although the aetiology of PCS still remains unclear, it may result from a combination of factors including genetic predisposition, anatomical abnormalities, hormonal factors, damage to the vein wall, valve dysfunction, reverse blood flow, hypertension and dilatation. The following paper describes an in-depth overview of anatomy, pathophysiology, symptoms, diagnosis and treatment of PCS. In recent years, minimally invasive interventions have become the method of first choice for the treatment of this condition. The efficacy of a percutaneous approach is high and it is rarely associated with serious complications.Key Messages Pelvic venous disorders demand a holistic approach for appropriate diagnosis. This article takes an in-depth look at existing therapies of Pelvic Congestion Syndrome and pathophysiology of this condition. Embolisation is an effective and safe treatment option.

Original languageEnglish (US)
Pages (from-to)22-36
Number of pages15
JournalAnnals of Medicine
Volume54
Issue number1
DOIs
StatePublished - 2022

Keywords

  • Interventional radiology
  • chronic pelvic pain
  • pelvic congestion syndrome
  • pelvic venous disorders

ASJC Scopus subject areas

  • Medicine(all)

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