Pelvic insufficiency: a deeper look at female and male gonadal vein incompetence

Abstract

Insufficiency within the pelvic veins although a proven clinical entity, is not commonly assessed and is often overlooked and underdiagnosed in women. Insufficiency of the pelvic veins, otherwise known as pelvic congestion syndrome in women, and varicocele in men, can be the cause of increased pain and discomfort for the patient. Insufficiency within the gonadal veins can, when prolonged, lead to an increase in varicose veins within the lower extremities, or in the instance of a patient who has already undergone surgery, these veins may be a strong contributor to recurrence rates. By comparing the similarities between male and female insufficiency, a standardised and more common practice of diagnosing female insufficiency should be implemented. The overall treatment and outcome for the patient, not to mention the long term benefits, especially if leg varicosities are involved as well, will be significantly improved if this condition is diagnosed correctly.L619086170 <br />