To Evaluate the Role of Ultrasonography in Pelvic Congestion Syndrome

Pelvic congestion syndrome (PCS) is defined as chronic pelvic pain (CPP) due to either dilated or refluxing pelvic veins. Aims and objectives: 1) To evaluate the role of ultrasonography with doppler in diagnosing PCS. 2) To compare the findings with healthy volunteers. Materials & Methods: This observational cross-sectional study was carried out at Obstetrics and Gynaecology department IGIMS, Patna including 100 multiparous premenopausal women, 50 with chronic pelvic pain and 50 healthy women, over a period of 1 year (2019-2020), after clearance from institutional ethics committee. Inclusion criteria: CPP, Multiparous premenopausal women. Exclusion Criteria: Pregnancy, Fibroid, Endometriosis, PID, Prolapse uterus. Informed consents were taken. All underwent transvaginal and transabdominal sonography to assess the pelvic vein diameter, the ovarian veins diameter, flow direction, presence of pelvic varicocele, volume of uterus and presence of polycystic ovaries. The findings were statistically analysed. Statistical Analysis: SPSS v23 (IBM Corp.) was used for data analysis. Statistical significance was kept at p < 0.05. Results: The mean ± SD diameter of the right Ovarian Vein Diameter, left ovarian vein diameter, right pelvic vein diameter and left pelvic vein diameter in the PCS group were significantly different when compared with control group.(p = <0.001). Reversed caudal flow in the ovarian veins were present in all of the patients with PCS group and in six patients of the control group. Pelvic varicoceles were present in all patients with PCS group and in five patients of the control group. Polycystic ovaries were present in 26 patients with PCS group (52%) and eight patients of the control group (16%). Mean uterine volume was 113.632±0.537 cm 3 in the PCS group and 111.437±0.754 cm3 in the control group (p>0.05). Conclusion: Sonography was found to be potentially useful non-invasive tool for diagnosing patients with CPP.

(English)

Pelvic congestion syndrome (PCS) is defined as chronic pelvic pain (CPP) due to either dilated or refluxing pelvic veins. Aims and objectives: 1) To evaluate the role of ultrasonography with doppler in diagnosing PCS. 2) To compare the findings with healthy volunteers. Materials & Methods: This observational cross-sectional study was carried out at Obstetrics and Gynaecology department IGIMS, Patna including 100 multiparous premenopausal women, 50 with chronic pelvic pain and 50 healthy women, over a period of 1 year (2019-2020), after clearance from institutional ethics committee. Inclusion criteria: CPP, Multiparous premenopausal women. Exclusion Criteria: Pregnancy, Fibroid, Endometriosis, PID, Prolapse uterus. Informed consents were taken. All underwent transvaginal and transabdominal sonography to assess the pelvic vein diameter, the ovarian veins diameter, flow direction, presence of pelvic varicocele, volume of uterus and presence of polycystic ovaries. The findings were statistically analysed. Statistical Analysis: SPSS v23 (IBM Corp.) was used for data analysis. Statistical significance was kept at p < 0.05. Results: The mean ± SD diameter of the right Ovarian Vein Diameter, left ovarian vein diameter, right pelvic vein diameter and left pelvic vein diameter in the PCS group were significantly different when compared with control group.(p = <0.001). Reversed caudal flow in the ovarian veins were present in all of the patients with PCS group and in six patients of the control group. Pelvic varicoceles were present in all patients with PCS group and in five patients of the control group. Polycystic ovaries were present in 26 patients with PCS group (52%) and eight patients of the control group (16%). Mean uterine volume was 113.632±0.537 cm 3 in the PCS group and 111.437±0.754 cm3 in the control group (p>0.05). Conclusion: Sonography was found to be potentially useful non-invasive tool for diagnosing patients with CPP. Files IJPCR,Vol14,Issue1,Article51.pdf Files (120.1 kB) | Name | Size | Download all | |---|---|---| | md5:711513e188240f58502f80839b82c8d7 | 120.1 kB | Preview Download | Additional details Dates - Accepted - 2021-12-28 Software - Repository URL - https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue1,Article51.pdf - Development Status - Active

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