Management of Pelvic Vein Disorders
10.37923/phle.2024.22.1.1
- Author:
Young Jun PARK
1
Author Information
1. Department of Surgery, Yeouido St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea
- Publication Type:Review Article
- From:
Annals of phlebology
2024;22(1):1-5
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pelvic vein disorder (PeVD) encompasses symptoms originating from the pelvic veins.It significantly impacts quality of life despite not always being life-threatening, necessitating accurate diagnosis and effective management. PeVD may result from pelvic vein incompetence (PVI), or conditions like left common iliac vein compression or Nutcracker syndrome can contribute to PeVD. Chronic pelvic pain, lasting over six months, is a common symptom, affecting various aspects of health and often linked to lower urinary tract, sexual function, and gynecological issues. Diagnosis involves ultrasound, computed tomography, magnetic resonance venography, and catheter venography. Transvaginal or abdominal ultrasound can identify enlarged veins and reflux, while catheter venography is the gold standard for diagnosing PVI. Treatment options include medical and endovascular treatments. Medications like micronized purified flavonoid fraction, medroxyprogesterone acetate, and goserelin acetate offer symptom relief, though effects are temporary. Endovascular treatment provides favorable outcomes, with coil embolization being effective.
