Pelvic Congestion Syndrome is an internal varicose vein disease that occurs in approximately 10% of women, lasts longer than 6 months, increases late in the day or at night, and is characterized by complaints such as pain in the lower abdomen/groin area, feeling of bloating, frequent urination, and painful sexual intercourse. is the disease.
The main complaints of pelvic congestion syndrome are pain and swelling in the groin. A significant number of patients report a feeling of uneasiness in the lower abdomen outside the menstrual period, as if menstruation is about to occur. 30% of women who apply to the hospital with complaints of long-term pain in the groin have pelvic congestion syndrome. Lower abdominal pain that persists for a long time is called chronic pelvic pain. Pelvic Congestion Syndrome is the most common cause of these pains. It is usually seen in women who have given birth one or more times. Although these patients experience more problems in the morning, they complain of an increase in their complaints late in the day.
Pelvic Congestion Syndrome; It occurs due to the expansion of the ovarian and uterine veins and the formation of intra-abdominal varicose veins. Varicose veins mean that the vein becomes enlarged and tortuous and cannot do its job. The function of the veins in our body is to take blood from the organs and bring it to the heart. When the vein cannot do its job, the blood remains in the vein instead of going to the heart and the pressure in the vein increases. Due to the increase in pressure, the fluid in the vein leaks into the surrounding tissues and edema occurs. This edema around the uterus and ovaries causes pain, a feeling of fullness, and painful sexual intercourse.
Who gets it?
It is seen in women who have had pelvic congestion syndrome frequently. However, it can rarely be seen in women who have not given birth.
Diagnosis in Pelvic Congestion Syndrome
The diagnosis is made by Ultrasonography, Tomography or magnetic resonance after listening to the patient's complaints. Patients often apply to Gynecology Outpatient Clinics, but they often cannot receive treatment because a diagnosis cannot be made. Diagnosis begins with experienced physicians suspecting the disease and referring the patient to the radiology clinic. What is important in diagnosis is to thoroughly question the patient's complaints and perform appropriate radiological imaging. The radiologist who will make the diagnosis will know about Pelvic Congestion Syndrome. Must be experienced. The diagnosis is made by seeing varicose veins around the ovary and uterus, connected to the enlarged ovarian vein.
Treatment
Coil Embolization Method
After the groin area is anesthetized with local anesthesia, a catheter (millimeter-sized inside produced for this purpose) is inserted into the groin vein. empty tube) is placed. The catheter is advanced into the ovarian veins and the problematic vein is blocked with special occlusive materials. The procedure is painless and takes approximately 30 minutes. The patient is awake throughout the procedure. Since there is no incision after the treatment, there is no scar left. It does not require hospitalization and the patient is discharged after only 2 hours of observation when the procedure is completed. Complaints may begin to improve within a few days.
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