Vulvar Varices

Bell, Diana; Kane, Peter B.; Liang, Sharon X.; Conway, Christine; Tornos, Carmen

doi:10.1097/01.pgp.0000215304.62771.19

Cited by 36 publications

(11 citation statements)

References 4 publications

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“…Varicose veins in the vulvar and peri-vulvar area are seen in 4% of women [1]. Varicose veins of the vulva are most commonly seen during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Successful embolization of vulval varices arising from the external pudendal vein

Aslam

Flexer

Figueiredo

et al. 2014

Journal of Surgical Case Reports

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Varicose veins in the vulvar and peri-vulvar area are seen in 4% of women and most commonly seen during pregnancy. It is thought to be as a direct result of the presence of ovarian and pelvic varicosities. Diagnostic modalities used in the investigation of this condition included pelvic ultrasound, computed venography, magnetic resonance venography and catheter-directed venography. The treatment options in the past were hysterectomy and/or ligation of ovarian veins by open or laparoscopic approach. Modern techniques involve embolization of the varicosity via radiological techniques. In this case the patient presented with vulval and upper thigh varices associated with pelvic pain. They were located to be from the superficial external pudendal vein, which is not a common source but worth considering with other causes. They were treated successfully with fluoroscopy-guided embolization.

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“…Varicose veins in the vulvar and peri-vulvar area are seen in 4% of women [1]. Varicose veins of the vulva are most commonly seen during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Successful embolization of vulval varices arising from the external pudendal vein

Aslam

Flexer

Figueiredo

et al. 2014

Journal of Surgical Case Reports

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show abstract

“…During the postpartum period, perineal veins may persist and enlarge with time in 4%–8% of patients 2,3. Vulvar varicosities are associated with venous thromboembolic events, both during pregnancy and in the nonpregnant state, superficial dyspareunia, and vulvodynia.…”

Section: Introductionmentioning

confidence: 99%

Vulvar varicosities: diagnosis, treatment, and prevention

Sg¹

2017

IJWH

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ObjectiveVulvar varicosity is a relatively common venous disorder in women with varicose veins of the pelvis and lower extremities and in pregnant women, but there is little information in the medical literature concerning its diagnosis and management. The aim of this study was to describe our experience with 101 women with vulvar varicosities who were examined and treated at our center during 2000–2014.Patients and methodsPatients were divided into two groups: group 1 with 61 women with varicose veins of the pelvis and enlarged vulvar veins, and group 2 with 40 pregnant women (11–38 weeks of pregnancy) with vulvar varicosities.ResultsIn most cases, vulvar varicosities were able to be diagnosed at clinical examination. In both groups, duplex ultrasound of the veins of the pelvis and lower extremities was used to confirm the presence of varicose veins, identify any retrograde flow, accurately determine vein diameter, and to reveal any anatomical feature of the intrapelvic veins. Treatment approaches varied significantly between the two groups from purely conservative measures during pregnancy to surgical procedures on the ovarian and vulvar veins in group 1. The venoactive agent, micronized purified flavonoid fraction, was effective at reducing the symptoms of vulvar varicosities in both groups.ConclusionA tailored approach to the diagnosis and treatment of vulvar varicosities can significantly improve the quality of care of women with this disorder.

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“…It is estimated that 4% of women have had vulvar varicosities (VV). 1 , 2 They may be isolated or associated with varices of the lower extremity, and they may occur as part of pelvic congestion syndrome (PCS). When symptomatic women may complain of discomfort, swelling, or pressure in the vulval area especially with prolonged standing, at the end of the day, during or after intercourse (dyspareunia), or just before the onset of menses, however, they are often asymptomatic.…”

Section: Introductionmentioning

confidence: 99%

“…When symptomatic women may complain of discomfort, swelling, or pressure in the vulval area especially with prolonged standing, at the end of the day, during or after intercourse (dyspareunia), or just before the onset of menses, however, they are often asymptomatic. 1 – 3 In pregnant women, diagnosis by physical examination is possible as the varices are engorged and clinically visible. To plan the best therapeutic approach, investigations are needed to determine whether the varices are isolated or caused by other venous connections like pelvic or lower limb venous system.…”

Section: Introductionmentioning

confidence: 99%