Pelvic Pain & Dysmenorrhoea Due To Pelvic Congestion Syndrome

Dr Jenny Cook  |  Gynaecologist & Advanced Laparoscopic Surgeon

Laparoscopic Hysterectomy for Pelvic Congestion Syndrome

Symptoms

A 36 year old woman presented with a long history of pelvic pain – including dysmenorrhoea.

Diagnosis

A Laparoscopy revealed prominent vessels, suggestive of Pelvic Congestion Syndrome. There was no response to progesterone (including oral and mirena).

Procedure

She subsequently had a Total Laparoscopic Hysterectomy.

Outcome

The pain resolved completely.

Laparoscopic view of the pelvis. Prominent blood vessels are seen.
Laparoscopic view of the pelvis. Prominent blood vessels are seen.
The right ovarian ligament is divided and the right ovary is preserved .
The right ovarian ligament is divided and the right ovary is preserved .
The colpotomy is performed to detach the uterus and cervix from the vagina.
The colpotomy is performed to detach the uterus and cervix from the vagina.
The colpotomy is continued. The uterus and cervix are then removed through the vagina.
The colpotomy is continued. The uterus and cervix are then removed through the vagina.
The pelvis at the end of the procedure. The vagina has been laparoscopically sutured. The normal left ovary is seen in this image.
The pelvis at the end of the procedure. The vagina has been laparoscopically sutured. The normal left ovary is seen in this image.
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