Pelvic congestion syndrome: historical aspects and a modern view on the problem (a literature review)

Pelvic congestion syndrome is a relatively recent, but actual and separate nosological form. Pelvic varicocele is a form of varicose disease, which is increasingly regarded as the main cause of chronic pelvic pain in women with various clinical manifestations. A woman with chronic pelvic pain is a d...

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Main Authors: A. O. Nykonenko, B. S. Havrylenko
Format: Article
Language:English
Published: Zaporizhzhia State Medical and Pharmaceutical University 2021-10-01
Series:Zaporožskij Medicinskij Žurnal
Subjects:
Online Access:http://zmj.zsmu.edu.ua/article/view/224621/239321
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author A. O. Nykonenko
B. S. Havrylenko
author_facet A. O. Nykonenko
B. S. Havrylenko
author_sort A. O. Nykonenko
collection DOAJ
description Pelvic congestion syndrome is a relatively recent, but actual and separate nosological form. Pelvic varicocele is a form of varicose disease, which is increasingly regarded as the main cause of chronic pelvic pain in women with various clinical manifestations. A woman with chronic pelvic pain is a difficult patient with combative behavior, who contacts with physicians in various specialties. There are many causes of chronic pelvic pain, but pelvic congestion syndrome has a special place. In recent years, in addition to widespread use of diagnostic radiology, the relevance of this pathology is beyond any doubt. The aim of the study was to summarize and present literature data on the etiology, pathogenesis, clinical manifestations, diagnosis and treatment of pelvic congestion syndrome by analyzing the literature data. Materials and methods. A non-systematic review was conducted using PubMed, Web of Science, Google and Google Scholar databases. The review included free full-text articles published between 1974 and 2021 using key words: pelvic congestion syndrome, pelvic varices, pelvic venous disorders, pelvic varicocele, pelvic venous stasis, chronic pelvic pain, gonadal veins, ovarian veins, vena ovarica, Nutcracker syndrome, May–Thurner syndrome. Conclusions. Pelvic congestion syndrome is still a rarely diagnosed pathology in patients with chronic pelvic pain. Detailed medical history, physical examination as well as maintaining diagnostic algorithm would allow the disease to be diagnosed correctly and timely. The choice of method for surgical intervention is a key point in the treatment of patients with pelvic congestion syndrome, but today there are no criteria for the choice of one, so the problem is far from being resolved and requires further study and research.
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spelling doaj-art-7ccb57e2c9f24afa9712e1522a7678ba2025-08-20T02:07:25ZengZaporizhzhia State Medical and Pharmaceutical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102021-10-0123572372910.14739/2310-1210.2021.5.224621Pelvic congestion syndrome: historical aspects and a modern view on the problem (a literature review)A. O. Nykonenko0B. S. Havrylenko1Zaporizhzhia State Medical University, UkraineZaporizhzhia State Medical University, UkrainePelvic congestion syndrome is a relatively recent, but actual and separate nosological form. Pelvic varicocele is a form of varicose disease, which is increasingly regarded as the main cause of chronic pelvic pain in women with various clinical manifestations. A woman with chronic pelvic pain is a difficult patient with combative behavior, who contacts with physicians in various specialties. There are many causes of chronic pelvic pain, but pelvic congestion syndrome has a special place. In recent years, in addition to widespread use of diagnostic radiology, the relevance of this pathology is beyond any doubt. The aim of the study was to summarize and present literature data on the etiology, pathogenesis, clinical manifestations, diagnosis and treatment of pelvic congestion syndrome by analyzing the literature data. Materials and methods. A non-systematic review was conducted using PubMed, Web of Science, Google and Google Scholar databases. The review included free full-text articles published between 1974 and 2021 using key words: pelvic congestion syndrome, pelvic varices, pelvic venous disorders, pelvic varicocele, pelvic venous stasis, chronic pelvic pain, gonadal veins, ovarian veins, vena ovarica, Nutcracker syndrome, May–Thurner syndrome. Conclusions. Pelvic congestion syndrome is still a rarely diagnosed pathology in patients with chronic pelvic pain. Detailed medical history, physical examination as well as maintaining diagnostic algorithm would allow the disease to be diagnosed correctly and timely. The choice of method for surgical intervention is a key point in the treatment of patients with pelvic congestion syndrome, but today there are no criteria for the choice of one, so the problem is far from being resolved and requires further study and research.http://zmj.zsmu.edu.ua/article/view/224621/239321pelvic congestion syndromevaricose veinspelvic venous disorderspelvic varicocelepelvic venous stasispelvic paingonadal veinsovarian veinsnutcracker syndromemay–thurner syndrome
spellingShingle A. O. Nykonenko
B. S. Havrylenko
Pelvic congestion syndrome: historical aspects and a modern view on the problem (a literature review)
Zaporožskij Medicinskij Žurnal
pelvic congestion syndrome
varicose veins
pelvic venous disorders
pelvic varicocele
pelvic venous stasis
pelvic pain
gonadal veins
ovarian veins
nutcracker syndrome
may–thurner syndrome
title Pelvic congestion syndrome: historical aspects and a modern view on the problem (a literature review)
title_full Pelvic congestion syndrome: historical aspects and a modern view on the problem (a literature review)
title_fullStr Pelvic congestion syndrome: historical aspects and a modern view on the problem (a literature review)
title_full_unstemmed Pelvic congestion syndrome: historical aspects and a modern view on the problem (a literature review)
title_short Pelvic congestion syndrome: historical aspects and a modern view on the problem (a literature review)
title_sort pelvic congestion syndrome historical aspects and a modern view on the problem a literature review
topic pelvic congestion syndrome
varicose veins
pelvic venous disorders
pelvic varicocele
pelvic venous stasis
pelvic pain
gonadal veins
ovarian veins
nutcracker syndrome
may–thurner syndrome
url http://zmj.zsmu.edu.ua/article/view/224621/239321
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