[Pelvic venous stasis. Gynecologic impact. Is it possible to individualize gynecologic phlebology?].

Pelvic phlebography, principally phlebography via endo-uterine access, can reveal states of chronic venous stasis in gynecological disorders. The existence of such stasis is reflected by the presence of varicoceles and of utero-vaginal and pampiniform plexuses. In some cases, dilatation of the ovarian vein raises the question of primary valvular insufficiency of these veins. The following were studied here on the basis of phlebographic data: the problem of pelvic pain and of Masters and Allen syndrome; pelvic stasis in the sequelae of phlebitis and of pelvic phlebitis; the problem of primary venous insufficiency (?); and the role of such stasis in various gynecological disorders. The pathogenic role of such stasis, either as the chief factor or as an accompanying or favouring factor, should be taken into consideration when determining the management.