Who Makes the Diagnosis and Implement Treatment for Pelvic Congestion Syndrome

Abstract

It is well known that chronic pelvic pain (CPP) in women, commonly affects young and childbearing women in various clinical status. Approximately one third of all women commonly suffer with lower abdominal pain and they represent at least 20% of those attending outpatient gynecology appointments [1]. Frankly this complaint usually is solvable when the real diagnosis has been made, to reach this destination it is appropriate to have a collaboration between more than one specialty, and also to have all diagnostic facilities for making up the diagnosis and implementing the proper treatment.Objectives: Our aim in this study was to find out the incidence of the diagnosis of Pelvic Congestion Syndrome in the Syrian Society, and the implemented treatment. Material and Methods:We conducted a retrospective study looking for women admitted to a central major hospital (Al Zehrawie Obstetric and Gynecological Diseases Hospital ZOGDH) in Damascus, Syria. Between 2017-2018 there was a 1371 admission to hospital 100%, from those being admitted, only 164 patients admitted 14% with a complaint of abdominal pain whom they were presumably subjected to clinical study and management, and the rest were normal delivery and other irrelevant diagnosis.Results: To our surprise there was not a single case being diagnosed as PCS. Even though there were many cases subjected to Hysterectomy with no confirmed diagnosis clinically or histologically, and we failed to lay our hand on any investigation related to the diagnosis of PCS. Conclusion:We consider that failure in making the diagnosis of PCS, does not abandon the disease presence in the community. All necessary tools required for making the diagnosis should be made available, a real collaboration should be implemented between various specialties, namely Gynecology, Vascular Surgery, and Interventional Radiology.We live globally in a little village and no one can claim the entire knowledge in everything.