[et_pb_section fb_built=”1″ custom_padding_last_edited=”on|tablet” admin_label=”Header” _builder_version=”4.27.6″ _module_preset=”default” background_color=”#eae4da” custom_padding_tablet=”0px||0px||false|false” custom_padding_phone=”0px||0px||false|false” global_colors_info=”{}”][et_pb_row column_structure=”3_5,2_5″ make_equal=”on” custom_padding_last_edited=”on|tablet” module_class=”reverse” _builder_version=”4.27.6″ _module_preset=”default” custom_padding_tablet=”||0px||false|false” custom_padding_phone=”||0px||false|false” global_colors_info=”{}”][et_pb_column type=”3_5″ _builder_version=”4.27.6″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.6″ _module_preset=”default” header_font=”|700|||||||” header_font_size=”53px” custom_margin=”||||false|false” text_font_size_tablet=”16px” text_font_size_phone=”14px” text_font_size_last_edited=”on|phone” header_font_size_tablet=”35px” header_font_size_phone=”32px” header_font_size_last_edited=”on|phone” header_line_height_tablet=”” header_line_height_phone=”1.2em” header_line_height_last_edited=”on|phone” locked=”off” global_colors_info=”{}”]<\/p>\n
Chronic pelvic venous insufficiency (CPVI) is a common but still underdiagnosed cause of chronic pelvic pain, dyspareunia, and perineal or lower limb varicose veins of non-saphenous origin (the varicose veins do not originate from the veins of the lower limb).
\nIt corresponds to a reflux or obstruction of the pelvic venous network, in particular the ovarian and internal iliac veins, or even to iliac-caval or reno-caval compression (such as aortomesenteric or May-Thurner syndrome).[1][2][3][4][5][\/et_pb_text][et_pb_button button_url=”https:\/\/dr-seban-chirurgien-vasculaire.com\/contact\/” button_text=”Learn more” button_alignment=”left” _builder_version=”4.27.6″ _module_preset=”default” custom_button=”on” button_text_size=”15px” button_bg_color=”#5382b6″ button_border_color=”rgba(0,0,0,0)” button_border_radius=”0px” button_letter_spacing=”2px” button_font=”|700||on|||||” button_icon=”5||divi||400″ background_layout=”dark” custom_padding=”15px|40px|15px|40px|true|true” locked=”off” global_colors_info=”{}”][\/et_pb_button][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https:\/\/dr-seban-chirurgien-vasculaire.com\/wp-content\/uploads\/2026\/04\/seb-doc-pic1.jpg” title_text=”seb-doc-pic1″ _builder_version=”4.27.6″ _module_preset=”default” z_index=”1″ width=”90%” module_alignment=”right” custom_margin_tablet=”0px||||false|false” custom_margin_last_edited=”off|desktop” global_colors_info=”{}”][\/et_pb_image][et_pb_image src=”https:\/\/dr-seban-chirurgien-vasculaire.com\/wp-content\/uploads\/2026\/03\/acupuncture-design-four.webp” title_text=”acupuncture-design-four” _builder_version=”4.27.6″ _module_preset=”default” positioning=”absolute” position_origin_a=”bottom_left” horizontal_offset_tablet=”150px” horizontal_offset_phone=”0px” horizontal_offset_last_edited=”off|desktop” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|tablet” admin_label=”Features” _builder_version=”4.27.6″ _module_preset=”default” background_color=”#fcfcfc” custom_padding_tablet=”0px||0px||false|false” custom_padding_phone=”0px||0px||false|false” locked=”off” global_colors_info=”{}”][et_pb_row make_equal=”on” custom_padding_last_edited=”on|tablet” module_class=”middle” _builder_version=”4.27.6″ _module_preset=”default” custom_padding_tablet=”||0px||false|false” custom_padding_phone=”||0px||false|false” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ admin_label=”Column” _builder_version=”4.27.6″ _module_preset=”default” custom_padding=”||||false|false” custom_padding_tablet=”20px||||false|false” custom_padding_phone=”20px||||false|false” custom_padding_last_edited=”on|phone” global_colors_info=”{}”][et_pb_toggle title=”Diagnostic algorithm” open_toggle_text_color=”#000000″ open_toggle_background_color=”RGBA(255,255,255,0)” closed_toggle_background_color=”RGBA(255,255,255,0)” icon_color=”#000000″ open_icon_color=”#000000″ _builder_version=”4.27.6″ _module_preset=”default” title_text_color=”#000000″ title_level=”h3″ title_font=”|700|||||||” title_line_height=”1.2em” custom_margin=”|0px|||false|false” custom_padding=”|0px|||false|false” title_font_size_tablet=”22px” title_font_size_phone=”20px” title_font_size_last_edited=”on|phone” border_width_all=”0px” border_width_bottom=”1px” border_color_bottom=”#000000″ locked=”off” global_colors_info=”{}”]<\/p>\n
[\/et_pb_toggle][et_pb_toggle title=”Conservative treatment: first step” open_toggle_text_color=”#000000″ open_toggle_background_color=”RGBA(255,255,255,0)” closed_toggle_background_color=”RGBA(255,255,255,0)” icon_color=”#000000″ open_icon_color=”#000000″ _builder_version=”4.27.6″ _module_preset=”default” title_text_color=”#000000″ title_level=”h3″ title_font=”|700|||||||” title_line_height=”1.2em” custom_margin=”|0px|||false|false” custom_padding=”|0px|||false|false” title_font_size_tablet=”22px” title_font_size_phone=”20px” title_font_size_last_edited=”on|phone” border_width_all=”0px” border_width_bottom=”1px” border_color_bottom=”#000000″ locked=”off” global_colors_info=”{}”]<\/p>\n
Conservative treatment remains a first-line option for patients with few symptoms, in the recent postpartum period, or while awaiting interventional management.[4][8][3]<\/p>\n
These measures may be sufficient for some patients, but high-quality evidence remains limited, and severe symptoms warrant interventional treatments.[8][3]<\/p>\n
e<\/strong><\/p>\n [\/et_pb_toggle][et_pb_toggle title=”Endovascular treatments: embolization and stenting” open_toggle_text_color=”#000000″ open_toggle_background_color=”RGBA(255,255,255,0)” closed_toggle_background_color=”RGBA(255,255,255,0)” icon_color=”#000000″ open_icon_color=”#000000″ _builder_version=”4.27.6″ _module_preset=”default” title_text_color=”#000000″ title_level=”h3″ title_font=”|700|||||||” title_line_height=”1.2em” custom_margin=”|0px|||false|false” custom_padding=”|0px|||false|false” title_font_size_tablet=”22px” title_font_size_phone=”20px” title_font_size_last_edited=”on|phone” border_width_all=”0px” border_width_bottom=”1px” border_color_bottom=”#000000″ locked=”off” global_colors_info=”{}”]<\/p>\n For highly symptomatic patients, embolization of pathological pelvic veins and, if necessary, correction of iliac or renal venous obstruction now constitute the core of treatment.[7][9][2][5][3]<\/p>\n [\/et_pb_toggle][et_pb_toggle title=”Embolization of the ovarian and internal iliac veins” open_toggle_text_color=”#000000″ open_toggle_background_color=”RGBA(255,255,255,0)” closed_toggle_background_color=”RGBA(255,255,255,0)” icon_color=”#000000″ open_icon_color=”#000000″ _builder_version=”4.27.6″ _module_preset=”default” title_text_color=”#000000″ title_level=”h3″ title_font=”|700|||||||” title_line_height=”1.2em” custom_margin=”|0px|||false|false” custom_padding=”|0px|||false|false” title_font_size_tablet=”22px” title_font_size_phone=”20px” title_font_size_last_edited=”on|phone” border_width_all=”0px” border_width_bottom=”1px” border_color_bottom=”#000000″ locked=”off” global_colors_info=”{}”]<\/p>\n Endovascular embolization has become the standard treatment for symptomatic pelvic venous reflux, supported by recent recommendations from learned societies (AVF, ESVS).[2][5][3]<\/p>\n Clinical series report an improvement in pelvic symptoms in 80\u201390% of cases in the medium term, with low morbidity.[5][2][3][7]<\/p>\n [\/et_pb_toggle][et_pb_toggle title=”Iliac stenting and treatment of compressions” open_toggle_text_color=”#000000″ open_toggle_background_color=”RGBA(255,255,255,0)” closed_toggle_background_color=”RGBA(255,255,255,0)” icon_color=”#000000″ open_icon_color=”#000000″ _builder_version=”4.27.6″ _module_preset=”default” title_text_color=”#000000″ title_level=”h3″ title_font=”|700|||||||” title_line_height=”1.2em” custom_margin=”|0px|||false|false” custom_padding=”|0px|||false|false” title_font_size_tablet=”22px” title_font_size_phone=”20px” title_font_size_last_edited=”on|phone” border_width_all=”0px” border_width_bottom=”1px” border_color_bottom=”#000000″ locked=”off” global_colors_info=”{}”]<\/p>\n When PCIV is associated with significant iliac venous obstruction (May-Thurner syndrome) or renocaval compression, simple embolization may not be sufficient.[2][3][5]<\/p>\n Studies show that normalizing abdominal, pelvic and lower limb venous flow significantly improves the quality of life of these patients.[3][5]<\/p>\n [\/et_pb_toggle][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding_last_edited=”on|tablet” _builder_version=”4.27.6″ _module_preset=”default” custom_padding_tablet=”0px||||false|false” custom_padding_phone=”0px||||false|false” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ admin_label=”Column” _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.6″ _module_preset=”default” header_2_font=”Unna|700|||||||” header_2_font_size=”48px” header_2_line_height=”1.2em” background_image=”https:\/\/dr-seban-chirurgien-vasculaire.com\/wp-content\/uploads\/2026\/03\/acupuncture-carree.webp” background_size=”contain” background_position=”center_left” custom_margin=”||||false|false” custom_margin_tablet=”||20px||false|false” custom_margin_phone=”||20px||false|false” custom_margin_last_edited=”on|tablet” custom_padding=”30px||30px|50px|true|false” custom_padding_tablet=”|||30px|true|false” custom_padding_phone=”” custom_padding_last_edited=”on|tablet” header_2_font_size_tablet=”30px” header_2_font_size_phone=”24px” header_2_font_size_last_edited=”on|tablet” header_2_line_height_tablet=”1.4em” header_2_line_height_phone=”1.5em” header_2_line_height_last_edited=”on|tablet” locked=”off” global_colors_info=”{}”]<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.27.6″ _module_preset=”default” custom_margin_tablet=”||10px||false|false” custom_margin_phone=”||10px||false|false” custom_margin_last_edited=”on|tablet” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n The vascular surgeon plays a central role in the management of chronic venous insufficiency and pelvic varicose veins. Once diagnosed, treatment is most often carried out on an outpatient basis, allowing for rapid, effective, and minimally invasive care. <\/p>\n Managing pelvic varicose veins and chronic pelvic congestion syndrome requires specific expertise in venous pathology. Dr. Guilhem Seban, a vascular surgeon in Annemasse, Haute-Savoie, provides diagnosis, monitoring, and treatment for these conditions, offering solutions tailored to each patient. <\/p>\n Sources:\n
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In summary<\/h2>\n
[1] ASCP \u2013 Pelvic Congestion Syndrome Association: https:\/\/www.info-congestionpelvienne.fr