Acıbadem Bakırköy Hospital Cardiovascular Surgery Specialist Assoc. Dr. Ahmet Arnaz explained 6 important points to be known about Pelvic Congestion Syndrome, which is less known although it is common in the society, and gave warnings and suggestions.
chronic pelvic pain; Cardiovascular Surgery Specialist Assoc. Dr. Ahmet Arnaz “The pelvic pain associated with Pelvic Congestion Syndrome (PKS) usually involves the ovaries and veins in the lower abdomen. The veins dilate and twist and overfill with blood; this causes pain due to excessive blood accumulation in the pelvis.” Assoc. Dr. Ahmet Arnaz other risk factors; varicose veins, family history of varicose veins, polycystic ovary syndrome, previous deep vein thrombosis, obesity, inactivity and spending time sitting or standing for a long time.
Acıbadem Bakırköy Hospital Cardiovascular Surgery Specialist Assoc. Dr. Ahmet Arnaz said:
“Chronic pelvic pain is pain during intercourse, pain during bowel movements or urination, and a feeling of fullness in the pelvis (pelvis). This pain manifests itself as a blunt or fullness sensation in the lower abdomen and groin. In its most common form, it can be felt only on the left side or on the right side of the body or on both sides. Pain is more common at the end of the day, before and during the menstrual period, during and after sexual intercourse, and when standing or sitting for a long time.
Pelvic Congestion Syndrome, which is a rare but common disease in the community, presents itself with many unimaginable symptoms. Assoc. Dr. Ahmet Arnaz listed these symptoms, which can be confused with other diseases, as "frequent episodes of diarrhea and constipation (irritable bowel), involuntary leakage of urine due to laughter, coughing or other movements that force the bladder, varicose veins in the pelvis, hips, thighs, vulva and vagina, and pain when urinating". . The incidence of the disease increases with hemorrhoids and leg varicose veins.
Stating that Pelvic Congestion Syndrome significantly reduces the quality of life of the person according to the severity of the pain, Assoc. Dr. Ahmet Arnaz said, “This disease, which is not life threatening but keeps people from activities they enjoy, wears them out physically, mentally and mentally, and causes chronic fatigue, can make daily life unbearable. Therefore, treatment should be started without wasting time.
Cardiovascular Surgery Specialist Assoc. Dr. Ahmet Arnaz stated that he has encountered patients with Pelvic Congestion Syndrome who could not be diagnosed for years because their symptoms can be confused with other diseases, and said:
“There are patients who go to many doctors from different branches due to the complaints they cause, but cannot be diagnosed for years because the diagnosis requires expertise. The diagnosis of Pelvic Congestion Syndrome begins with a physical examination, including a pelvic examination, and a medical history. During the exam, the doctor checks for tenderness in the ovaries, cervix, and uterus to try to pinpoint where the pain is coming from. Imaging methods help the doctor rule out other conditions that cause chronic pelvic pain and see irregularities in the vessels potentially associated with PKS. Preferred main imaging methods; ultrasound, MRI or CT scan, pelvic venography and laparoscopy. According to the current picture of the patient, the necessary examinations can be made and the diagnosis can be made.”
Emphasizing that it is possible to treat Pelvic Congestion Syndrome, Assoc. Dr. Ahmet Arnaz says that drugs that suppress estrogen production can reduce pain, and that surgical methods or minimally invasive techniques are used when drug treatment is not sufficient. Assoc. Dr. Ahmet Arnaz said, “In this way, embolization (occlusion) of the ovarian vessels can be achieved. In addition, laparoscopy can be preferred to tie the veins by preventing the backflow of blood. The recovery period of women who have had ovarian and pelvic varices embolization is similar to the treatment process of leg varicose veins. It usually requires an overnight hospitalization for pain relief within the first 24 hours. After that, the patient is discharged and pain medication can be used.”
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