Abstract

DIAZ REYES, CARLOS GERMÁN. Pelvic varicocele and pelvic congestion syndrome in woman. CES Med. [online]. 2012, vol.26, n.1, pp.57-69. ISSN 0120-8705.

Pelvic congestion syndrome is the clinical condition characterized by chronic pelvic pain, with a particular semiology associated with the presence of pelvic varicose veins, with or without reflux. For the development of a pelvic congestion syndrome is necessary the presence of pelvic varicose veins, but not all women with pelvic varicose veins has a pelvic congestion syndrome. The standard diagnostic method is the selective ovarian venography; although lately not invasive methods such as Doppler ultrasound and dynamic magnetic resonance imaging have wide clinical application. Medical treatment for handling pelvic congestion syndrome varies from ovarian suppression with high doses of Progestagens or analogues of GnRH or invasive surgical laparoscopic/laparatomic ligation of bilateral ovarian veins, uterine ventrosuspension and hysterectomy with salpingoooforectomy; as well as embolization of pelvic venous vessels. This article seeks to review the literature of pelvic congestion syndrome in order to meet a condition often overlooked and diagnostic and therapeutic alternatives to treat these patients. This review was conducted by electronic search including Medline, Pubmed, The Cochrane Library (including the Cochrane Database of Systematic Reviews) and EMBASE. The subject headings (MeSH) in English and Spanish, including all subheadings and key words were "varicose veins," "pelvic congestion syndrome", "pelvic várices", "pelvic congestion syndrome". Articles and reviews of issues from 1952 and 2008 were included

Keywords : Varicose veins; Pelvic congestion syndrome; Diagnostic techniques; Laparoscopy; Therapeutic embolization; Review.

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