Interventional Radiology

Pelvic venous congestion

What is pelvic venous congestion (PVI)?

Pelvic venous congestion is known by a number of names including, pelvic venous congestion syndrome (PVCS), and pelvic venous insufficiency (PVI).

The condition is caused by valves in the veins that help return blood to the heart against gravity becoming weakened and not closing properly, allowing blood to flow backwards and pool in the vein causing pressure and bulging veins.

Pelvic venous congestion can result in pain or discomfort deep in the pelvis that typically gets worse at the end of the day. It requires a detailed clinical assessment and if found to be the cause of symptoms can be treated from inside the veins.

Access to the veins is performed through a nick in the skin (in the neck or groin) with light sedation and local anaesthetic. The procedure can be performed as a day case. See Ovarian vein embolisation