HEALTH OF WOMAN. 2016.5(111):52–57; doi 10.15574/HW.2016.111.52 
 

Etiopathogenetic Approach to Conservative Treatment of Pelvic Congestion Syndrome 
 

Zhuk S. I., Grigorenko A. N., Shluakhtina A. A.

Shupyk National Medical Academy of Postgraduate Education, Kiev, Ukraine

Vinnytsia regional clinical hospital named after. M. I. Pirogov 
 

Aim of research is clinical, laboratory and instrumental evaluation of efficiency of proposed pathogenetic conservative treatment for Pelvic Congestion Syndrome in women of reproductive age. Complex treatment consisted of oral use of diosmin, chondroitin sulfate for 6 months and physiotherapy. The results of the study suggest that proposed treatment is effective enough. It provides recovery of varicose veins endothelium functions, dynamic balance between vasodilatory and vasoconstrictor factors, normalization of blood rheology and metabolic processes in connective tissue.

Key words: Pelvic Congestion Syndrome, conservative treatment, venotonic therapy.

REFERENCES

1. Proskuryakova OV. 2000. Chastnyie voprosyi venoznogo krovoobrascheniya vnutrennih polovyih organov zhenschinyi. Dopplerografiya v ginekologii. Pod red. Zyikina BI, Medvedeva MB. M, RAVUZDPG. Realnoe vremya:133–144.

2. Ryimashevskiy NV, Markina VV, Volkov AE i soavt. 2000. Varikoznaya bolezn i retsidiviruyuschiy flebit malogo taza u zhenschin. Rostov-na-Donu:164.

3. Savitskiy GA, Ivanova RD, Scheglov IYu, Popov PA. 2000. Hirurgicheskoe lechenie sindroma tazovyih boley v ginekologicheskoy klinike. SPb, ZAO «ELBI».

4. Kirienko AI, Bogachev VYu, Prokubovskiy VI. 2001. Varikoznaya bolezn ven malogo taza. Flebologiya. Pod. red. VS Saveleva. M, «Meditsina».

5. Mozes VG. 2005, Oktyabr – noyabr. Varikoznoe rasshirenie ven malogo taza u zhenschin. Novosti meditsinyi i farmatsii 18(178):17.

6. Ryimashevskiy NV, Volkov AE, Mihelson AF, Kazaryan MS. 1995. Ehografiya v diagnostike i kontrole za konservativnoy terapiey varikoza malogo taza. Ehografiya v perinatologii, ginekologii, pediatrii. III Ezhegodnyiy sbornik nauchnyih trudov Ukrainskoy Assotsiatsii vrachey UZD v perinatologii i ginekologii. Dnepropetrovsk:202–203.

7. Yuschenko AN. 2005, May. Varikoznaya bolezn malogo taza: kazuYistika ili rasprostranennaya bolezn?» Novosti meditsinyi i farmatsii 9(169):14–16.

8. Langeron P. Tazovyiyvenoznyiy staz, tazovoe rasshirenie ven (varikotsele): gemodinamicheskie, patogeneticheskie i klinicheskie problemyi (per. s frants.). Rhlebologie, AnnalesVasculaires, Avril-Juin, 2:155–159 (Fr).

9. Lescomb GH, Ling FW. 1995. Chronepelvicpain. Med. Clin. North. Am. 9:1411.

10. Smith CB. 1997. Chronic Pelvic Pain: Why Empathy and Listening are the Keys to Diagnosis Consultant. 47:161–170.

11. Bell D, Kane PB, Liang S, Conway C, Tornos C. 2007, Jan. Vulvar varices: an uncommon entity in surgical pathology. Int J Gynecol Pathol. 26(1):99–101. http://dx.doi.org/10.1097/01.pgp.0000215304.62771.19; PMid:17197905

12. Chilla BK, Knusel PR, Zollikofer ChL, Huber T, Kubik-Huch RA. 2006, Oct. Pelvic congestion syndrome. Schweiz Rundsch Med Prax. 11;95(41):1583–1588.

13. Fassiadis N. 2006, Mar. Treatment for pelvic congestion syndrome causing pelvic and vulvar varices. IntAngiol. 25(1):1–3. PMid:16520716

14. Gargiulo T, Mais V, Brokaj L, Cossu E, Melis GB. 2003. Bilateral laparoscopic transperitoneal ligation of ovarian veins for treatment of pelvic congestion syndrome. J Am AssocGynecolLaparosc. 10:501–504. http://dx.doi.org/10.1016/s1074-3804(05)60156-9