Pelvic varicocele and pelvic congestion syndrome in woman

Díaz Reyes, Carlos Germán
In: CES Medicina · 2012 · vol. 26(1) , pp. 57–69 · W1534049265
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Abstract

Pelvic congestion syndrome is the clinical condition characterized by chronic pain, with a particular semiology associated with the presence of with or without reflux. For the development of a congestion syndrome is necessary the presence of but not all women with veins has a congestion The standard diagnostic method is the selective ovarian venography; although lately not invasive methods such as Doppler ultrasound and dynamic magnetic resonance imaging have wide clinical application. Medical treatment for handling congestion syndrome varies from ovarian suppression with high doses of Progestagens or analogues of GnRH or invasive surgical laparoscopic/laparatomic ligation of bilateral ovarian uterine ventrosuspension and hysterectomy with salpingoooforectomy; as well as embolization of venous vessels. This article seeks to review the literature of congestion syndrome in order to meet a condition often overlooked and diagnostic and therapeutic alternatives to treat these patients. This review was conducted by electronic search including Medline, Pubmed, The Cochrane Library (including the Cochrane Database of Systematic Reviews) and EMBASE. The subject headings (MeSH) in English and Spanish, including all subheadings and key words were varicose veins, pelvic congestion syndrome, pelvic varices, pelvic congestion syndrome. Articles and reviews of issues from 1952 and 2008 were included

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