Pelvic vein incompetence and chronic pelvic pain: a case–control study
Objective To investigate the association between chronic pelvic pain (CPP) and pelvic vein incompetence (PVI) or pelvic varices. Design Case–control study. Setting Gynaecology and vascular surgery services in two teaching hospitals in north‐west England. Sample A total of 328 premenopausal women (ag...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2023-10, Vol.130 (11), p.1355-1361 |
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| creator | Hansrani, Vivak Riding, David Seif, Mourad W. Caress, Ann‐Louise Payne, Katherine Ghosh, Jonathan McCollum, Charles N. |
| description | Objective
To investigate the association between chronic pelvic pain (CPP) and pelvic vein incompetence (PVI) or pelvic varices.
Design
Case–control study.
Setting
Gynaecology and vascular surgery services in two teaching hospitals in north‐west England.
Sample
A total of 328 premenopausal women (aged 18–54 years), comprising 164 women with CPP and 164 matched controls with no history of CPP.
Methods
Symptom and quality‐of‐life questionnaires and transvaginal duplex ultrasound for PVI and pelvic varices.
Main outcome measures
Venous reflux of >0.7 s in the ovarian or internal iliac veins (primary outcome) and presence of pelvic varices (secondary outcome). Statistical analysis compared the prevalence of PVI between women with and without CPP using the two‐sided chi‐square test. Logistic regression was used to compare the odds of having PVI and pelvic varices between women with and without CPP.
Results
Pelvic vein incompetence was found on transvaginal duplex ultrasound in 101/162 (62%) women with CPP, compared with 30/164 (19%) asymptomatic controls (OR 6.79, 95% CI 4.11–11.47, p |
| doi_str_mv | 10.1111/1471-0528.17485 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7616904</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2806070957</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4675-2748746a1627f54df35e1bc0c79fe1b09f83ef1a90c8983ce9a5aea85d3283753</originalsourceid><addsrcrecordid>eNqFkb1OwzAUhS0E4qcws6FILCwpdhzHDgMSVEBBSDDAbBnnhrpK7RA3Rd14B96QJ8ElpQIWvPjq3s9H5_ogtE9wn4RzTFJOYswS0Sc8FWwNba866181jjFNxBba8X6MMckSTDfRFuU4Zxmh22h4D9XM6GgGxkbGajepYQpWQ6RsEelR42yY1h1UK2NPIhVp5eHj7V07O21cFflpW8x30UapKg97y7uHHi8vHgbD-Pbu6npwdhvrNOMsToJNnmYqOOElS4uSMiBPGmuel6HAeSkolETlWItcUA25YgqUYEVYg3JGe-i0063bpwkUGoIHVcm6MRPVzKVTRv6eWDOSz24meUayHKdB4Ggp0LiXFvxUTozXUFXKgmu9TATO8OJ_eEAP_6Bj1zY2rBcoljNGUyYCddxRunHeN1CuzBAsFynJRSZykYn8Sim8OPi5w4r_jiUArANeTQXz__Tk-c1dJ_wJsHWczA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2859553458</pqid></control><display><type>article</type><title>Pelvic vein incompetence and chronic pelvic pain: a case–control study</title><source>MEDLINE</source><source>Wiley Online Library</source><creator>Hansrani, Vivak ; Riding, David ; Seif, Mourad W. ; Caress, Ann‐Louise ; Payne, Katherine ; Ghosh, Jonathan ; McCollum, Charles N.</creator><creatorcontrib>Hansrani, Vivak ; Riding, David ; Seif, Mourad W. ; Caress, Ann‐Louise ; Payne, Katherine ; Ghosh, Jonathan ; McCollum, Charles N.</creatorcontrib><description>Objective
To investigate the association between chronic pelvic pain (CPP) and pelvic vein incompetence (PVI) or pelvic varices.
Design
Case–control study.
Setting
Gynaecology and vascular surgery services in two teaching hospitals in north‐west England.
Sample
A total of 328 premenopausal women (aged 18–54 years), comprising 164 women with CPP and 164 matched controls with no history of CPP.
Methods
Symptom and quality‐of‐life questionnaires and transvaginal duplex ultrasound for PVI and pelvic varices.
Main outcome measures
Venous reflux of >0.7 s in the ovarian or internal iliac veins (primary outcome) and presence of pelvic varices (secondary outcome). Statistical analysis compared the prevalence of PVI between women with and without CPP using the two‐sided chi‐square test. Logistic regression was used to compare the odds of having PVI and pelvic varices between women with and without CPP.
Results
Pelvic vein incompetence was found on transvaginal duplex ultrasound in 101/162 (62%) women with CPP, compared with 30/164 (19%) asymptomatic controls (OR 6.79, 95% CI 4.11–11.47, p < 0.001). Forty‐three of 164 (27%) women with CPP had pelvic varices compared with three of 164 (2%) asymptomatic women (OR 18.9, 95% CI 5.73–62.7, p < 0.001).
Conclusions
There was a significant association between PVI, as detected by transvaginal duplex imaging, and CPP. Pelvic varices were strongly associated with CPP and were infrequently seen in control patients. These results justify further evaluation of PVI and its treatment in well‐designed research.</description><identifier>ISSN: 1470-0328</identifier><identifier>ISSN: 1471-0528</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.17485</identifier><identifier>PMID: 37095613</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Asymptomatic ; Case-Control Studies ; case–control study ; Chronic pain ; Chronic Pain - epidemiology ; Chronic Pain - etiology ; chronic pelvic pain ; Female ; Humans ; Iliac Vein ; Pelvic Pain - epidemiology ; Pelvic Pain - etiology ; pelvic venous incompetence ; Statistical analysis ; Ultrasonic imaging ; Ultrasound ; Varicose Veins - complications ; Varicose Veins - diagnostic imaging ; Varicose Veins - epidemiology ; Veins & arteries ; venous ; Venous Insufficiency - complications ; Venous Insufficiency - diagnostic imaging ; Venous Insufficiency - epidemiology</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2023-10, Vol.130 (11), p.1355-1361</ispartof><rights>2023 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2023 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4675-2748746a1627f54df35e1bc0c79fe1b09f83ef1a90c8983ce9a5aea85d3283753</citedby><cites>FETCH-LOGICAL-c4675-2748746a1627f54df35e1bc0c79fe1b09f83ef1a90c8983ce9a5aea85d3283753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1471-0528.17485$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1471-0528.17485$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37095613$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hansrani, Vivak</creatorcontrib><creatorcontrib>Riding, David</creatorcontrib><creatorcontrib>Seif, Mourad W.</creatorcontrib><creatorcontrib>Caress, Ann‐Louise</creatorcontrib><creatorcontrib>Payne, Katherine</creatorcontrib><creatorcontrib>Ghosh, Jonathan</creatorcontrib><creatorcontrib>McCollum, Charles N.</creatorcontrib><title>Pelvic vein incompetence and chronic pelvic pain: a case–control study</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective
To investigate the association between chronic pelvic pain (CPP) and pelvic vein incompetence (PVI) or pelvic varices.
Design
Case–control study.
Setting
Gynaecology and vascular surgery services in two teaching hospitals in north‐west England.
Sample
A total of 328 premenopausal women (aged 18–54 years), comprising 164 women with CPP and 164 matched controls with no history of CPP.
Methods
Symptom and quality‐of‐life questionnaires and transvaginal duplex ultrasound for PVI and pelvic varices.
Main outcome measures
Venous reflux of >0.7 s in the ovarian or internal iliac veins (primary outcome) and presence of pelvic varices (secondary outcome). Statistical analysis compared the prevalence of PVI between women with and without CPP using the two‐sided chi‐square test. Logistic regression was used to compare the odds of having PVI and pelvic varices between women with and without CPP.
Results
Pelvic vein incompetence was found on transvaginal duplex ultrasound in 101/162 (62%) women with CPP, compared with 30/164 (19%) asymptomatic controls (OR 6.79, 95% CI 4.11–11.47, p < 0.001). Forty‐three of 164 (27%) women with CPP had pelvic varices compared with three of 164 (2%) asymptomatic women (OR 18.9, 95% CI 5.73–62.7, p < 0.001).
Conclusions
There was a significant association between PVI, as detected by transvaginal duplex imaging, and CPP. Pelvic varices were strongly associated with CPP and were infrequently seen in control patients. These results justify further evaluation of PVI and its treatment in well‐designed research.</description><subject>Asymptomatic</subject><subject>Case-Control Studies</subject><subject>case–control study</subject><subject>Chronic pain</subject><subject>Chronic Pain - epidemiology</subject><subject>Chronic Pain - etiology</subject><subject>chronic pelvic pain</subject><subject>Female</subject><subject>Humans</subject><subject>Iliac Vein</subject><subject>Pelvic Pain - epidemiology</subject><subject>Pelvic Pain - etiology</subject><subject>pelvic venous incompetence</subject><subject>Statistical analysis</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Varicose Veins - complications</subject><subject>Varicose Veins - diagnostic imaging</subject><subject>Varicose Veins - epidemiology</subject><subject>Veins & arteries</subject><subject>venous</subject><subject>Venous Insufficiency - complications</subject><subject>Venous Insufficiency - diagnostic imaging</subject><subject>Venous Insufficiency - epidemiology</subject><issn>1470-0328</issn><issn>1471-0528</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNqFkb1OwzAUhS0E4qcws6FILCwpdhzHDgMSVEBBSDDAbBnnhrpK7RA3Rd14B96QJ8ElpQIWvPjq3s9H5_ogtE9wn4RzTFJOYswS0Sc8FWwNba866181jjFNxBba8X6MMckSTDfRFuU4Zxmh22h4D9XM6GgGxkbGajepYQpWQ6RsEelR42yY1h1UK2NPIhVp5eHj7V07O21cFflpW8x30UapKg97y7uHHi8vHgbD-Pbu6npwdhvrNOMsToJNnmYqOOElS4uSMiBPGmuel6HAeSkolETlWItcUA25YgqUYEVYg3JGe-i0063bpwkUGoIHVcm6MRPVzKVTRv6eWDOSz24meUayHKdB4Ggp0LiXFvxUTozXUFXKgmu9TATO8OJ_eEAP_6Bj1zY2rBcoljNGUyYCddxRunHeN1CuzBAsFynJRSZykYn8Sim8OPi5w4r_jiUArANeTQXz__Tk-c1dJ_wJsHWczA</recordid><startdate>202310</startdate><enddate>202310</enddate><creator>Hansrani, Vivak</creator><creator>Riding, David</creator><creator>Seif, Mourad W.</creator><creator>Caress, Ann‐Louise</creator><creator>Payne, Katherine</creator><creator>Ghosh, Jonathan</creator><creator>McCollum, Charles N.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202310</creationdate><title>Pelvic vein incompetence and chronic pelvic pain: a case–control study</title><author>Hansrani, Vivak ; Riding, David ; Seif, Mourad W. ; Caress, Ann‐Louise ; Payne, Katherine ; Ghosh, Jonathan ; McCollum, Charles N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4675-2748746a1627f54df35e1bc0c79fe1b09f83ef1a90c8983ce9a5aea85d3283753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Asymptomatic</topic><topic>Case-Control Studies</topic><topic>case–control study</topic><topic>Chronic pain</topic><topic>Chronic Pain - epidemiology</topic><topic>Chronic Pain - etiology</topic><topic>chronic pelvic pain</topic><topic>Female</topic><topic>Humans</topic><topic>Iliac Vein</topic><topic>Pelvic Pain - epidemiology</topic><topic>Pelvic Pain - etiology</topic><topic>pelvic venous incompetence</topic><topic>Statistical analysis</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><topic>Varicose Veins - complications</topic><topic>Varicose Veins - diagnostic imaging</topic><topic>Varicose Veins - epidemiology</topic><topic>Veins & arteries</topic><topic>venous</topic><topic>Venous Insufficiency - complications</topic><topic>Venous Insufficiency - diagnostic imaging</topic><topic>Venous Insufficiency - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hansrani, Vivak</creatorcontrib><creatorcontrib>Riding, David</creatorcontrib><creatorcontrib>Seif, Mourad W.</creatorcontrib><creatorcontrib>Caress, Ann‐Louise</creatorcontrib><creatorcontrib>Payne, Katherine</creatorcontrib><creatorcontrib>Ghosh, Jonathan</creatorcontrib><creatorcontrib>McCollum, Charles N.</creatorcontrib><collection>Wiley-Blackwell Titles (Open access)</collection><collection>Wiley-Blackwell Open Access Backfiles (Open Access)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hansrani, Vivak</au><au>Riding, David</au><au>Seif, Mourad W.</au><au>Caress, Ann‐Louise</au><au>Payne, Katherine</au><au>Ghosh, Jonathan</au><au>McCollum, Charles N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pelvic vein incompetence and chronic pelvic pain: a case–control study</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2023-10</date><risdate>2023</risdate><volume>130</volume><issue>11</issue><spage>1355</spage><epage>1361</epage><pages>1355-1361</pages><issn>1470-0328</issn><issn>1471-0528</issn><eissn>1471-0528</eissn><abstract>Objective
To investigate the association between chronic pelvic pain (CPP) and pelvic vein incompetence (PVI) or pelvic varices.
Design
Case–control study.
Setting
Gynaecology and vascular surgery services in two teaching hospitals in north‐west England.
Sample
A total of 328 premenopausal women (aged 18–54 years), comprising 164 women with CPP and 164 matched controls with no history of CPP.
Methods
Symptom and quality‐of‐life questionnaires and transvaginal duplex ultrasound for PVI and pelvic varices.
Main outcome measures
Venous reflux of >0.7 s in the ovarian or internal iliac veins (primary outcome) and presence of pelvic varices (secondary outcome). Statistical analysis compared the prevalence of PVI between women with and without CPP using the two‐sided chi‐square test. Logistic regression was used to compare the odds of having PVI and pelvic varices between women with and without CPP.
Results
Pelvic vein incompetence was found on transvaginal duplex ultrasound in 101/162 (62%) women with CPP, compared with 30/164 (19%) asymptomatic controls (OR 6.79, 95% CI 4.11–11.47, p < 0.001). Forty‐three of 164 (27%) women with CPP had pelvic varices compared with three of 164 (2%) asymptomatic women (OR 18.9, 95% CI 5.73–62.7, p < 0.001).
Conclusions
There was a significant association between PVI, as detected by transvaginal duplex imaging, and CPP. Pelvic varices were strongly associated with CPP and were infrequently seen in control patients. These results justify further evaluation of PVI and its treatment in well‐designed research.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37095613</pmid><doi>10.1111/1471-0528.17485</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1470-0328 |
| ispartof | BJOG : an international journal of obstetrics and gynaecology, 2023-10, Vol.130 (11), p.1355-1361 |
| issn | 1470-0328 1471-0528 1471-0528 |
| language | eng |
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| source | MEDLINE; Wiley Online Library |
| subjects | Asymptomatic Case-Control Studies case–control study Chronic pain Chronic Pain - epidemiology Chronic Pain - etiology chronic pelvic pain Female Humans Iliac Vein Pelvic Pain - epidemiology Pelvic Pain - etiology pelvic venous incompetence Statistical analysis Ultrasonic imaging Ultrasound Varicose Veins - complications Varicose Veins - diagnostic imaging Varicose Veins - epidemiology Veins & arteries venous Venous Insufficiency - complications Venous Insufficiency - diagnostic imaging Venous Insufficiency - epidemiology |
| title | Pelvic vein incompetence and chronic pelvic pain: a case–control study |
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