Surgical aspects of venous pelvic pain treatment
S.G. Gavrilov ORCID Icon & O.I. Efremova
Received 14 Jan 2019, Accepted 07 Jun 2019, Accepted author version posted online: 12 Jun 2019
Download citation  https://doi.org/10.1080/03007995.2019.1631059 

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 Accepted author version
Abstract
This review presents modern information on the anatomy of pelvic veins, mechanisms of development of pelvic congestion syndrome (PCS) and venous pelvic pain (VPP), methods for verifying venous nature of pelvic pain, as well as opportunities of various surgical interventions on the gonadal veins in treatment of PCS and relief of its most severe symptom, VPP. A comparative analysis of resection and embolization treatment methods and their effects on VPP, as well as rates of postprocedural complications was carried out. The issues of elimination of specific compression syndromes causing occurrence of VPP, by using open, endoscopic, and endovascular techniques are addressed.

Keywords: pelvic venous pain, pelvic congestion syndrome, resection of gonadal veins, embolization of gonadal veins, iliac vein stenting