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cirugía maxilofacial
cirugía maxilofacial

Angiology and Vascular Surgery

Consultants

Pelvic varicose veins or Pelvic Congestion Syndrome (PCS)

varices pélvicas

Pelvic varicose veins are distended veins located within the abdominal cavity, usually surrounding the uterus and ovaries.

 

This is a chronic condition in women who may present no symptoms or significant impairment of quality of life, pelvic varicose veins may cause a dull and persistent pain in the pelvic area.

 

The increase in vascularisation in the uterine/ovarian region which occurs in pregnancy can cause this type of varicose vein to develop. This, in turn, causes an increase in pressure leading to the generation of others in the lower body, such as the genital area (vulva) and legs.

 

20% of women who have given birth to children suffer from them. There is also a significant hereditary component.

 
 

 
 

Risk factors

  • Sex: only affect women
  • Age: between the ages of 30 and 50
  • Pregnancy
  • Hormonal dysfunction
  • Hereditary factors

Symptoms

  • Chronic pain in the pelvis and lower abdomen
  • Heaviness in the lower abdomen
  • Painful menstruation
  • Pain during sexual intercourse
  • Increased urination
  • Varicose veins in the vulva and lower limbs

Diagnosis

  • Pelvic Congestion Syndrome can be confused with other ailments, making diagnosis difficult.
  • The first imaging technique used for diagnosis is usually Doppler ultrasound.
  • Sometimes other techniques such as CT Angio and Magnetic Resonance Angiography may be needed.

Treatment

Embolisation
 

  • The endovascular procedure of choice, very safe for the treatment of pelvic varicose veins.
  • It consists of obstructing (embolising) the varicose vein in a controlled and deliberate manner.
  • It is performed in the Haemodynamics room.
  • Patients can resume normal activity the following day.
  • It significantly improves symptoms in most patients.

 

Consultants

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952908898 Oncology
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