Baydaa Alsannan, Ahmad Alzeeny, Andrea Etrusco, Antonio Simone Laganà, Antonio D'Amato, Togas Tulandi
{"title":"Diagnosis and Management of Pelvic Congestion Syndrome: Comprehensive Review.","authors":"Baydaa Alsannan, Ahmad Alzeeny, Andrea Etrusco, Antonio Simone Laganà, Antonio D'Amato, Togas Tulandi","doi":"10.1159/000539931","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Pelvic congestion syndrome (PCS) is a poorly understood condition that can be associated with chronic pelvic pain and could impact quality of life. The diagnosis is often made by exclusion of other causes of pelvic pain.</p><p><strong>Objective: </strong>The purpose of our review was to provide an update on the etiology, anatomy, physiology, identification, and the therapeutic management of PCS.</p><p><strong>Method: </strong>We conducted a literature review involving publications from 2003 to 2024 in PubMed, Elsevier, MEDLINE, as well as manual searches of primary and review articles using keywords such as \"pelvic veins\", \"embolization\", \"venography\", \"pelvic congestion syndrome\", and \"chronic pelvic pain\".</p><p><strong>Conclusion: </strong>PCS remains poorly understood. Symptoms can be non-specific and difficult to distinguish from other diseases; yet it is an important cause of chronic pelvic pain in women. To date, there have been only a small number of randomized trials and high-level evidence is still lacking.</p><p><strong>Outlook: </strong>We call for an increased awareness of PCS and additional clinical studies in a large number of patients.</p>","PeriodicalId":12952,"journal":{"name":"Gynecologic and Obstetric Investigation","volume":" ","pages":"437-444"},"PeriodicalIF":2.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gynecologic and Obstetric Investigation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1159/000539931","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/22 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Pelvic congestion syndrome (PCS) is a poorly understood condition that can be associated with chronic pelvic pain and could impact quality of life. The diagnosis is often made by exclusion of other causes of pelvic pain.
Objective: The purpose of our review was to provide an update on the etiology, anatomy, physiology, identification, and the therapeutic management of PCS.
Method: We conducted a literature review involving publications from 2003 to 2024 in PubMed, Elsevier, MEDLINE, as well as manual searches of primary and review articles using keywords such as "pelvic veins", "embolization", "venography", "pelvic congestion syndrome", and "chronic pelvic pain".
Conclusion: PCS remains poorly understood. Symptoms can be non-specific and difficult to distinguish from other diseases; yet it is an important cause of chronic pelvic pain in women. To date, there have been only a small number of randomized trials and high-level evidence is still lacking.
Outlook: We call for an increased awareness of PCS and additional clinical studies in a large number of patients.
期刊介绍:
This journal covers the most active and promising areas of current research in gynecology and obstetrics. Invited, well-referenced reviews by noted experts keep readers in touch with the general framework and direction of international study. Original papers report selected experimental and clinical investigations in all fields related to gynecology, obstetrics and reproduction. Short communications are published to allow immediate discussion of new data. The international and interdisciplinary character of this periodical provides an avenue to less accessible sources and to worldwide research for investigators and practitioners.