Intro:
Pelvic congestion syndrome is a common cause of chronic abdominal and pelvic pain, most often seen in women. This is caused by dilated, malfunctioning veins within the abdomen and pelvis.
Symptoms:
Symptoms of pelvic congestion syndrome can have a significant impact on quality of life and include:
- Lower abdominal pain that is worse with prolonged standing or during menstruation
- Sensation of fullness or bloating in the lower abdomen/pelvis
- Labial varicose veins
- Varicoceles
- Stress incontinence
- Irritable bowels
- Painful intercourse
Risk Factors:
- Pregnancy, especially multiple pregnancies
- Family history
Diagnosis:
Pelvic congestion syndrome is often diagnosed based on a thorough history/clinical examination and a CT Venogram or MRV demonstrating dilated pelvic veins.
Treatment:
Pelvic congestion syndrome can be difficult to treat and requires a multidisciplinary team approach as well as an individualized treatment plan. Some patients undergo embolization or closing off of dilated pelvic veins through a minimally invasive procedure.
