Poorly Understood Pelvic Venous Disorders Require a Multidisciplinary Approach

Abstract

Pelvic venous diseases encompasses all chronic pathologies of pelvic veins caused by venous hypertension and retrograde flow in pelvic veins. It is commonly unexplained and often underdiagnosed cause of chronic pelvic pain in women of productive age. Pelvic venous pathologies are a part of multidisciplinary problem that should be considered in a holistic approach. Newly offered SVP classification may help correctly classifying patients and using the same nomenclature. Endovascular treatment options are highly effective with good long-term results. Patients with inconclusive gynecologists examinations should be referred to a specialist for the investigation of pelvic venous disorders.

Zusammenfassung

Beckenvenenerkrankungen umfassen alle chronischen Krankheitsbilder der Beckenvenen, die durch venöse Hypertonie und retrograden Fluss in den Beckenvenen verursacht werden. Sie sind eine häufig ungeklärte und oft unterdiagnostizierte Ursache für chronische Beckenschmerzen bei fortpflanzungsfähigen Frauen. Beckenvenenerkrankungen sind Teil eines fachübergreifenden Problems, das ganzheitlich betrachtet werden sollte. Die neu eingeführte SVP-Klassifikation kann dabei helfen, Patienten korrekt einzuordnen und eine einheitliche Nomenklatur zu verwenden. Endovaskuläre Behandlungsmethoden sind äußerst wirksam und liefern gute Langzeitergebnisse. Patientinnen mit unklaren gynäkologischen Untersuchungsbefunden sollten zur Abklärung von Beckenvenenerkrankungen an einen Spezialisten überwiesen werden.

Key words

pelvic venous disease - pelvic congestion - chronic pelvic pain

Schlüsselwörter

Beckenvenenerkrankung - Beckenstauung - chronische Beckenschmerzen

Publication History

Article published online:
05 July 2021

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