Perspective Chapter: Pelvic Congestion Syndrome
<p id="p1">Pelvic congestion syndrome (PCS) or pelvic varicose veins (PV) is an entity that millions of women in the world can suffer from, and its occurrence represented to 39%. Multiple factors contribute to the pathophysiology of PCS. Up to 15% of women between 20 and 50 years old suffer from PV,...
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| Autores principales: | , , , |
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| Formato: | Capítulo de libro |
| Lenguaje: | inglés |
| Publicado: |
IntechOpen
2025
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| Materias: | |
| Acceso en línea: | https://www.intechopen.com/chapters/89748 |
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| Sumario: | <p id="p1">Pelvic congestion syndrome (PCS) or pelvic varicose veins (PV) is an entity that millions of women in the world can suffer from, and its occurrence represented to 39%. Multiple factors contribute to the pathophysiology of PCS. Up to 15% of women between 20 and 50 years old suffer from PV, not all are symptomatic. Multiple studies demonstrate that the incidence of PCS is associated with the presence of typical or atypical PV; due to leakage points from lumbar plexus or superficial epigastric vein, etc. Risk factors for PV as multiparity or varicose veins in the lower limbs have been identified. The phlebography is the gold standard. The treatment consists progestogens at high dosage or analogues of gonadotropin releasing hormone, surgical laparoscopic or laparotomic ligation of bilateral ovarian veins, uterine ventro-suspension, and hysterectomy with salpingo-oophorectomy; however, these techniques are the last to be used. Embolization is highly effective and safe; It has low recurrence rates and no complications. In conclusion, it is important to determine the different risk factors and know the new forms of endovascular treatment which are minimally invasive, not painful, ambulatory and also, do not show serious with low recurrence rates.</p> |
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| ISBN: | 978-0-85014-093-4 |
| DOI: | 10.5772/intechopen.115102 |