Journal «Angiology and Vascular Surgery» • 

2015 • VOLUME 21 • №2

Lesion of pelvic organs in secondary varicose veins of the small pelvis

Tsukanov Yu.T., Tsukanov A.Yu., Levdansky E.G.

Omsk State Medical University of the Russian Public Health Ministry, Omsk, Russia

The authors studied peculiarities of pelvic organs lesions in patients presenting with secondary small pelvic varicose veins (SPVV) induced by endured thrombosis of iliac veins. The study included a total of 70 patients after endured thrombosis of iliac veins verified by radiodiagnostic methods. The average duration of thrombosis amounted to 3.8 years. The patients were subdivided into two groups. The Study Group comprised 48 patients presenting with small pelvic varicose veins revealed by duplex scanning; the Control Group was composed of 22 patients with no varicose pelvic veins.

It was determined that characteristic features of patients with secondary SPVV having developed after iliac veins thrombosis included chronic pelvic pain, dilatation of cavernous veins of the rectum, inguinal vein varicosity and varicose veins of the groin and anterior abdominal wall. Formation of secondary SPVV after endured iliac vein thrombosis leads to disorders of pelvic organs, similar to those in primary varicosity, but more often being functional. Endured iliac veins thrombosis in formation of secondary SPVV leads to urination impairments with prevalence of moderately pronounced symptomatology. Small pelvic organs dysfunction in women with secondary SPVV due to endured iliac veins thrombosis manifests itself in dyspareunia, leukorrhea, and dysmenorrhea.

KEY WORDS: iliac veins thrombosis, secondary small pelvic veins varicosity, pelvic pain, neurogenic dysfunction of the urinary bladder, urination impairments, haemorrhoid.

P. 100

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