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https://www.readbyqxmd.com/read/28943005/correlation-between-pelvic-congestion-syndrome-and-body-mass-index
#1
Ruhani Nanavati, Patrick Jasinski, Demetri Adrahtas, Antonios Gasparis, Nicos Labropoulos
OBJECTIVE: Previous studies of men suggested that patients with varicocele may be leaner than the normal population. No such work exists in women with pelvic congestion syndrome (PCS). This study evaluated the correlation between body mass index (BMI) and PCS. METHODS: A case-control study at a single institution was performed of women who had the objective diagnosis of PCS. Data were prospectively collected for 100 consecutive patients with PCS. BMI was calculated for every patient and categorized into normal weight (BMI <25), overweight (BMI 25-29...
September 21, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28792357/management-of-left-renal-vein-compression-in-patients-presenting-left-gonadal-vein-reflux
#2
Javier Leal Monedero, Santiago Zubicoa Ezpeleta, Michel Perrin
Background Compression of left renal vein is an atypical cause of reflux in pelvic veins resulting in pelvic varices that in turn causes frequently lower limb varices in many cases. Methods A monocentric study was undertaken to report the treatment and five-year follow up of patients presenting left renal vein compression. Embolization of refluxive gonadal/pelvic veins was performed generally as the initial procedure. Left renal vein stenting was performed in patients presenting haematuria, severe lumbar pain or persistent pelvic/lower limb varices after embolization...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28791845/diagnosis-and-treatment-of-pelvic-congestion-syndrome-single-centre-experiences
#3
Tadeusz A Dorobisz, Jerzy S Garcarek, Jacek Kurcz, Krzysztof Korta, Andrzej T Dorobisz, Przemysław Podgórski, Jan Skóra, Piotr Szyber
BACKGROUND: One of the underestimated causes of chronic pelvic pain (CPP) in women may be pelvic congestion syndrome (PCS) that is defined as the presence of varicose of ovarian and pelvic veins associated with chronic pain in the region of the pelvis. This pain is present longer than 6 months and intensifies with prolonged standing, coitus and menstruation. The disease constitutes a diagnostic as well as therapeutic problem, thus posing a challenge for the clinician. Transcatheter ovarian vein embolization might be a safe and effective option for PCS treatment...
March 2017: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/28689938/gonadal-vein-transposition-in-nutcracker-syndrome
#4
Roy Miler, Eric K Shang, Woosup Michael Park
INTRODUCTION/OBJECTIVES: Nutcracker syndrome, caused by mesoaortic compression of the left renal vein leading to symptoms related to venous hypertension, is an uncommon entity that may require operative intervention. Traditional open transposition of the left renal vein to the vena cava has been shown to have a re-intervention rate of up to 30%, while also having additional morbidity associated with laparotomy. More recently, endovascular stenting has been described in several small series, but have reported stent fracture, thrombosis and migration...
July 6, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28647478/embolization-of-ovarian-vein-for-pelvic-congestion-syndrome-with-ethylene-vinyl-alcohol-copolymer-onyx-%C3%A2
#5
C Marcelin, J Izaaryene, M Castelli, P A Barral, A Jacquier, V Vidal, J M Bartoli
PURPOSE: To evaluate the safety and efficacy of pelvic embolization using ethylene vinyl alcohol copolymer (Onyx(®)) for pelvic congestion syndrome. MATERIAL AND METHODS: Between March 2012 to September 2016, 17 women (mean age, 44.7± 12.2 (SD) years; range: 34-71years) presenting with pelvic congestion syndrome were evaluated for transvenous embolization with Onyx(®). Pelvic congestion syndrome was initially diagnosed by clinical examination and the results of transvaginal Doppler ultrasound and further confirmed by pelvic venography...
June 21, 2017: Diagnostic and Interventional Imaging
https://www.readbyqxmd.com/read/28379058/sensitivity-and-specificity-of-clinical-findings-for-the-diagnosis-of-pelvic-congestion-syndrome-in-women-with-chronic-pelvic-pain
#6
Ana Lucia Herrera-Betancourt, Juan Diego Villegas-Echeverri, Jose Duván López-Jaramillo, Jorge Darío López-Isanoa, Jorge Mario Estrada-Alvarez
Background Pelvic congestion syndrome is among the causes of pelvic pain. One of the diagnostic tools is pelvic venography using Beard's criteria, which are 91% sensitive and 80% specific for this syndrome. Objective To assess the diagnostic performance of the clinical findings in women diagnosed with pelvic congestion syndrome coming to a Level III institution. Methods Descriptive retrospective study in women with chronic pelvic pain taken to transuterine pelvic venography at the Advanced Gynecological Laparoscopy and Pelvic Pain Unit of Clinica Comfamiliar, between August 2008 and December 2011, analyzing social, demographic, and clinical variables...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28076514/evaluation-of-embolization-for-periuterine-varices-involving-chronic-pelvic-pain-secondary-to-pelvic-congestion-syndrome
#7
Flavio Meirelles Siqueira, Lucas Moretti Monsignore, Julio Cesar Rosa-E-Silva, Omero Benedicto Poli-Neto, Luis Henrique de Castro-Afonso, Guilherme Seizem Nakiri, Valdair Francisco Muglia, Daniel Giansante Abud
OBJECTIVES: To evaluate the clinical response and success rate after periuterine varices embolization in patients with chronic pelvic pain secondary to pelvic congestion syndrome and to report the safety of endovascular treatment and its rate of complications. METHODS: Retrospective cohort of patients undergoing endovascular treatment of pelvic congestion syndrome in our department from January 2012 to November 2015. Data were analyzed based on patient background, imaging findings, embolized veins, rate of complications, and clinical response as indicated by the visual analog pain scale...
December 1, 2016: Clinics
https://www.readbyqxmd.com/read/28005626/vulvar-varicosities-a-review
#8
REVIEW
Anna S Kim, Laura A Greyling, Loretta S Davis
BACKGROUND: Vulvar varicosities (VV) are dilated and tortuous veins occurring within the external female genitalia. Patients may seek treatment of these varices for both medical and cosmetic purposes. In some patients, VV may be associated with a chronic pelvic pain syndrome called pelvic congestion syndrome (PCS). OBJECTIVE: To review the English language literature on VV in both pregnant and nonpregnant women. MATERIALS AND METHODS: A literature search pertaining to vulvar varicosities and PCS was performed using PubMed and Google Scholar databases...
March 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/27795794/-anatomical-bases-of-external-pudendal-artery-injuries-during-surgical-treatment-of-pelvic-limb-varices
#9
Magaye Gaye, Assane Ndiaye, Papa Adama Dieng, Aynina Ndiaye, Papa Salmane Ba, Souleymane Diatta, Amadou Gabriel Ciss, Jean Marc Ndiaga Ndoye, Mamadou Diop, Abdoulaye Ndiaye, Mouhamadou Ndiaye, Abdarahmane Dia
INTRODUCTION: External pudendal artery is a collateral branch of the common femoral artery which is the primary blood supply to the penis or the clitoris. Its relationship with the venous arch of the great saphenous vein and its afferents in femoral triangle, are very narrow. This often entails injuries during crossectomy and great saphenous vein stripping. These lesions can cause sexual dysfunction. METHODS: This study reports the case of a dissection of 22 inguinal regions in 13 men and 9 women who underwent surgical treatment of the femoral triangle...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27380947/response-to-letter-regarding-embolization-is-not-essential-in-the-treatment-of-leg-varices-due-to-pelvic-venous-insufficiency
#10
EDITORIAL
Eberhard Rabe, Felizitas Pannier
No abstract text is available yet for this article.
September 2016: Phlebology
https://www.readbyqxmd.com/read/27318059/efficacy-of-endovascular-treatment-for-pelvic-congestion-syndrome
#11
REVIEW
Osman Mahmoud, Pirkka Vikatmaa, Pekka Aho, Karoliina Halmesmäki, Anders Albäck, Päivi Rahkola-Soisalo, Kimmo Lappalainen, Maarit Venermo
BACKGROUND: Chronic pelvic pain is not a rare health problem among women. One of the most common causes of chronic pelvic pain is pelvic congestion syndrome (PCS). We have reviewed all medical literature on the endovascular treatment of PCS and hereby provide a brief overview of the anatomy, pathophysiology, and clinical aspects of ovarian and pelvic varices. We describe the technique of transcatheter embolization, the complications thereof and the clinical results of the treatment. METHODS: A literature search was performed using PubMed, Science Direct, Google Scholar, and Scopus to identify case series on the endovascular treatment of PCS up until the end of November 2014...
July 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/27294622/chronic-pelvic-pain
#12
REVIEW
Slawomir Wozniak
INTRODUCTION: Chronic pelvic pain (CPP) affects about 10-40% of women presenting to a physician, and is characterised by pain within the minor pelvis persisting for over 6 months. MATERIALS AND METHOD: The Medline database was searched using the key words 'chronic pelvic pain' and 'pelvic congestion syndrome', published in English during the past 15 years. The condition markedly deteriorates the quality of life of the affected. Its aetiology has not been fully described and elucidated, although organic, functional and psychosomatic factors are implicated...
June 2, 2016: Annals of Agricultural and Environmental Medicine: AAEM
https://www.readbyqxmd.com/read/27231429/secondary-varicose-small-pelvic-veins-and-their-treatment-with-micronized-purified-flavonoid-fraction
#13
Yurii T Tsukanov, Anton Y Tsukanov, Evgenii G Levdanskiy
The aim of this study was to examine secondary varicose small pelvic veins (VSPV) and their treatment with micronized purified flavonoid fraction (MPFF). We examined 70 patients with a history of acute iliac thrombosis of > 1 year. Patients with urination difficulties associated with other symptoms (n = 24) received MPFF 1,000 mg once daily for 1 month. Clinical manifestations were assessed by collecting complaints and analyzing results of physician examinations. VSPV was identified in 48 (68.6%) patients, the majority (58%) had grade 2 (7...
June 2016: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/27156987/pulmonary-embolism-due-to-metal-coil-migration-after-treatment-of-pelvic-varices
#14
Rossella D'Amato, Juan Marco Figueira Gonçalves, Juan Manuel Palmero Tejera
No abstract text is available yet for this article.
February 2017: Archivos de Bronconeumología
https://www.readbyqxmd.com/read/27151535/letter-regarding-embolization-is-not-essential-in-the-treatment-of-leg-varices-due-to-pelvic-venous-insufficiency
#15
EDITORIAL
Mark Whiteley
No abstract text is available yet for this article.
September 2016: Phlebology
https://www.readbyqxmd.com/read/27142148/dilating-venous-disease-pathophysiology-and-a-systematic-aspect-to-different-vascular-territories
#16
Ertan Yetkin, Mehmet Ileri
Venous disease is a common but overlooked clinical problem and is an important mortality and morbidity factor depending on the effected vascular territory. Different contributing factors play role on the clinical manifestation of the disease. Peripheral varices of lower extremities, hemorrhoids, varicoceles, pelvic varicose veins are the vasculopathy of veins running toward heart but against gravity. We hypothesize that all these clinical entities share common pathophysiologic steps in terms of vascular wall remodeling and vessel wall damage...
June 2016: Medical Hypotheses
https://www.readbyqxmd.com/read/26441020/chronic-pelvic-pain-an-imaging-approach
#17
V Juhan
Chronic pelvic pain is defined as disabling pain of at least six months duration. Chronic pelvic pain has often multiple causative factors. Careful analysis of clinical history and detailed clinical examination must be carried out to guide further imaging investigations. Endometriosis is a common cause of chronic pelvic pain, although there is no correlation between the severity of lesions and pain intensity. Pelvic ultrasonography should be the first line imaging examination to search for causative conditions that include endometriosis, adenomyosis, pelvic varices and chronic infection...
October 2015: Diagnostic and Interventional Imaging
https://www.readbyqxmd.com/read/26404449/pelvic-congestion-syndrome-the-current-state-of-the-literature
#18
REVIEW
Chiara Borghi, Lucio Dell'Atti
PURPOSE: Pelvic congestion syndrome is an uncommon poorly understood and frequently misdiagnosed disorder of the pelvic venous circulation, which causes chronic pelvic pain in women in premenopausal age. This condition has typical features, such as pelvic varicosities, pelvic pain worsened by prolonged standing, coitus, menstruation, and pregnancy. METHODS: The precise etiology of this syndrome remains uncertain, and it is probably multifactorial. Valvular insufficiency, venous obstruction, and hormones all may play a role in the development of congestion of the pelvic veins...
February 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/26395958/-combined-endovascular-and-surgical-therapy-for-chronic-pelvic-venous-closure-accompanied-by-massive-prepubic-and-limbs-varices
#19
D Janák, T Grus, S Heller, J Kudlička, V Rohn
We report a successful surgical and endovascular procedure in a patient with increasing chronic varicose veins resulting from a chronic post-traumatic closure of the left pelvic vein. The endovascular intervention involves an effective and fast part of the procedure dealing with the primary cause of the patients pathology with subsequent surgical treatment, which radically eliminates the secondary developing pathology of massive prepubic and convoluted varicose veins in limbs.
August 2015: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/25873121/-pelvic-venous-congestion-syndrome-diagnosis-and-management-guidelines-of-the-angiology-section-of-slovak-medical-chamber-2015
#20
Peter Gavorník, Karol Holomáň, Ľudovít Gašpar, Andrej Dukát, Andrea Komorníková, Emil Gavorník
Pelvic congestion syndrome: chronic symptoms, which may include pelvic pain, perineal heaviness, urgency of micturition, and post-coital pain, caused by ovarian and/or pelvic vein reflux and/or obstruction, and which may be associated with vulvar, perineal, and/or lower extremity varices. The VEIN-TERM consensus document was developed by a transatlantic interdisciplinary faculty of experts under the auspices of the American Venous Forum (AVF), the European Venous Forum (EVF), the International Union of Phlebology (IUP), the American College of Phlebology (ACP), and the International Union of Angiology (IUA)...
March 2015: Vnitr̆ní Lékar̆ství
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