PELVIC AND PERIPHERAL VENOUS INSUFFICIENCY: DIFFERENT PRESENTATIONS AND COMMON PATHOPHYSIOLOGY
Soliman, M., Abo El atta, M., Youssef, H. (2006). PELVIC AND PERIPHERAL VENOUS INSUFFICIENCY: DIFFERENT PRESENTATIONS AND COMMON PATHOPHYSIOLOGY. EKB Journal Management System, 10(1), 45-59. doi: 10.21608/egyfs.2006.4997
Mosaad Soliman; Mohamed Abo El atta; Hamed Youssef. "PELVIC AND PERIPHERAL VENOUS INSUFFICIENCY: DIFFERENT PRESENTATIONS AND COMMON PATHOPHYSIOLOGY". EKB Journal Management System, 10, 1, 2006, 45-59. doi: 10.21608/egyfs.2006.4997
Soliman, M., Abo El atta, M., Youssef, H. (2006). 'PELVIC AND PERIPHERAL VENOUS INSUFFICIENCY: DIFFERENT PRESENTATIONS AND COMMON PATHOPHYSIOLOGY', EKB Journal Management System, 10(1), pp. 45-59. doi: 10.21608/egyfs.2006.4997
Soliman, M., Abo El atta, M., Youssef, H. PELVIC AND PERIPHERAL VENOUS INSUFFICIENCY: DIFFERENT PRESENTATIONS AND COMMON PATHOPHYSIOLOGY. EKB Journal Management System, 2006; 10(1): 45-59. doi: 10.21608/egyfs.2006.4997

PELVIC AND PERIPHERAL VENOUS INSUFFICIENCY: DIFFERENT PRESENTATIONS AND COMMON PATHOPHYSIOLOGY

The Egyptian Journal of Fertility of Sterility
Article 7, Volume 10, Issue 1, January 2006, Page 45-59  XML PDF (1.2 MB)
Document Type: Original Article
DOI: 10.21608/egyfs.2006.4997
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Authors
Mosaad Soliman1; Mohamed Abo El atta2; Hamed Youssef3
1Mansoura University Hospital, Departments of Vascular surgery
2Mansoura University Hospital, Departments of Radiology
3Mansoura University Hospital, Departments of and OB/GYN
Abstract
Introduction: Varicose veins are related to other diseases including varicocele or utero-ovarian varices. On the base of
close physiopathologic relationships between varicose veins and gonadal varicosity we decided to evaluate the features
of pelvic venous insufficiency in patients affected hy varicose veins.
Methods: Seventy patients with different grades of chronic venous insufficiency (CVI) were included in the study. The
patients were evaluated pre-operatively by color Doppler for grading of gonadal varicosity and assessment of valvular
incompetence in the peripheral veins. Post-operatively, the number of valves in the stripped veins was correlated to the
degree of gonadal varicosity.
Results: Thirty patients were proved to have both peripheral and pelvic venous insufficiency. Higher grades of gonadal
varices were associated with lesser number of saphenous valves. There was a significant relation hetween the Doppler
grading of venous reflux in gonadal & peripheral veins.
Conclusions: The incidence of varicocele associated with CVI was higher than the incidence of isolated varicocele.
The bilateral development of gonadal and peripheral varicosity in female patients refers to mechanical compression
followed by axial reflux. The association of lesser number of valves in the saphenous veins with higher grades of
varicocele raises the possibility of generalized valvular scarcity as a cause of venous insufficiency.
Keywords
Varicose; Varicocele; Doppler
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