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Review paper
Published online: 2020-11-13
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Pelvic venous insufficiency — an often-forgotten cause of chronic pelvic pain

Jacek Szymanski, Grzegorz Jakiel, Aneta Slabuszewska-Jozwiak
DOI: 10.5603/GP.a2020.0093

open access

Ahead of Print
REVIEW PAPERS Gynecology
Published online: 2020-11-13

Abstract

Chronic pelvic pain is a common health problem that afflicts 39% of women at some time in their life. It is a common challenge
for gynecologists, internists, surgeons, gastroenterologists, and pain management physicians. Pelvic venous insufficiency
(PVI) accounts for 16–31% of cases of chronic pain but it seems to be often overlooked in differential diagnosis. The aim of
this article was to summarize current data concerning PVI. The embolization of insufficient ovarian veins remains the gold
standard of therapy but the optimal procedure is yet to be determined. Well-designed randomized trials are required to
establish the best treatment modalities.

Abstract

Chronic pelvic pain is a common health problem that afflicts 39% of women at some time in their life. It is a common challenge
for gynecologists, internists, surgeons, gastroenterologists, and pain management physicians. Pelvic venous insufficiency
(PVI) accounts for 16–31% of cases of chronic pain but it seems to be often overlooked in differential diagnosis. The aim of
this article was to summarize current data concerning PVI. The embolization of insufficient ovarian veins remains the gold
standard of therapy but the optimal procedure is yet to be determined. Well-designed randomized trials are required to
establish the best treatment modalities.

Get Citation

Keywords

chronic pelvic pain; pelvic venous insufficiency; pelvic congestion syndrome; embolization

About this article
Title

Pelvic venous insufficiency — an often-forgotten cause of chronic pelvic pain

Journal

Ginekologia Polska

Issue

Ahead of Print

Article type

Review paper

Published online

2020-11-13

DOI

10.5603/GP.a2020.0093

Keywords

chronic pelvic pain
pelvic venous insufficiency
pelvic congestion syndrome
embolization

Authors

Jacek Szymanski
Grzegorz Jakiel
Aneta Slabuszewska-Jozwiak

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