Pelvic congestion syndrome and vulvar varices
Varicose veins of pelvic origin are often described in the lower limb duplex (LLDU) report as veins in the buttock, vulvar and medial/posterior upper thigh and, in most centres, warrant no further investigation. We have set up a new vascular ultrasound service to diagnose pelvic congestion syndrome and varices of pelvic origin. In addition to standard lower limb venous duplex (LLDU) we perform transvaginal (TVUS) ultrasound scans with special scrutiny to pelvic venous system in those patients with suspected pelvic vein involvement.
We have set up a protocol to identify internal iliac vein, ovarian veins and engorged parauterine and paraovarian veins in semi-erect position using both Valsalva manoeuvre and thigh augmentation to measure reflux in the pelvic veins.
IVS Diagnostic
✓ Can save 17% to 34% of the cost of setting up and running a vascular laboratory
✓ Reduces capital expenditure
✓ Lowers staff and administration costs
✓ 95% of inpatients investigated the same day
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