Summary
The pathogenesis of primary varicosis and, in particular, congenital vascular malformations in the genital area is determined by haemodynamic and hormonal factors. Both primary varicosis and secondary varicosis in gonadal vein insufficiency can lead to extensive vulvar varicosities with severe congestive symptoms (pelvic congestion syndrome). Congenital venous malformations in the genital area occur both in isolation and in combination with venous malformations of adjacent regions and should be treated as early as possible.
Correspondingly, various treatment approaches have been developed in recent years, whereby currently, after use of interventional radiology in occlusion treatment of the gonadal vein insufficiency, sclerotherapy of the vulvar varicosities is recommended either primarily or supplementary to vascular surgery to remove the venectasias. This also applies to venous malformations in the genital area.
Keywords
Gonadal insufficiency - genital venous malformation - vulvar varicosis - pelvic congestion syndrome - pudendal varicosis
