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Acta Phlebologica 2023 August;24(2):53-61

DOI: 10.23736/S1593-232X.22.00546-X

Copyright © 2022 EDIZIONI MINERVA MEDICA

language: English

Valves insufficiency and agenesis of the gonadal veins as a cause of pelvic venous disorders: diagnosis and treatment using the method of laser coagulation

Larisa CHERNUKHA 1, Olena VLASENKO 2 , Ievgeniia MARKOVETS 3, Yurii VAHIS 4, Dmytro VLASENKO 5

1 Department of Surgery of Magistral Vessels, A. A. Shalimov National Institute of Surgery and Transplantology, Kyiv, Ukraine; 2 Department of Internal Medicine, Biology and Medicine, Institute Science Educational Center of Taras Shevchenko, National University of Kyiv, Kyiv, Ukraine; 3 Department of Internal Medicine, Biology and Medicine, Ukraine Verum Expert Clinic, Institute Science Educational Center of Taras Shevchenko, National University of Kyiv, Kyiv, Ukraine; 4 Department of Endovascular Surgery, A. A. Shalimov National Institute of Surgery and Transplantology, Kyiv, Ukraine; 5 Biology and Medicine Institute Science, Educational Center of Taras Shevchenko, National University of Kyiv, Kyiv, Ukraine



BACKGROUND: Development of an algorithm for diagnosing the causes of pelvic venous disorders (PeVD). Describe the indications, technique and benefits of laser coagulation of the gonadal veins.
METHODS: We have experience in treatment of 39 patients with PVD (2016-2022) using endovenous laser coagulation. Patients underwent color duplex scanning, transvaginal ultrasound, diagnostic phlebography, computed tomography. May-Thurner, Nutcracker syndromes as well as Gynecological, urological and gastroenterological pathology was excluded.
RESULTS: During the seven years of follow-up, according to ultrasound data, none of the 39 patients, who underwent endovenous ablation of GV, showed no recurrence of the disease and any complications in the pelvic organs and kidneys. All patients report an improvement in their quality of life.
CONCLUSIONS: The proposed algorithm l allows to avoid unnecessary examinations in patients with chronic pelvic pain and choose the optimal method of treatment. Endovenous laser coagulation may be used not only in elimination of the reflux in subcutaneous veins, but also in gonadal veins.


KEY WORDS: Gonads; Veins; Venous insufficiency; Prostatitis; Laser coagulation; May-Thurner Syndrome

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