Ann Phlebology.  2024 Jun;22(1):1-5. 10.37923/phle.2024.22.1.1.

Management of Pelvic Vein Disorders

• Park YJ

• KMID: 2557804
• DOI: http://doi.org/10.37923/phle.2024.22.1.1

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.

Keyword

Pelvic vein disorders; Diagnosis; Treatment