Dataset Information

Noninvasive diagnostic tools for pelvic congestion syndrome: a systematic review.

ABSTRACT:

Introduction

In the work-up of patients with suspected pelvic congestion syndrome, venography is currently the gold standard. Yet if non-invasive diagnostic tools are found to be accurate, invasive venography might no longer be indicated as necessary.

Material and methods

A literature search in Pubmed and EMBASE was performed from inception until 6 May 2017. Studies comparing non-invasive diagnostic tools to a reference standard in the work-up of patients with (suspected) pelvic congestion syndrome were included. Relevant data were extracted and methodological quality of individual included studies was assessed by the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool.

Results

Nine studies matched our inclusion criteria. Six studies compared ultrasonography to venography and three studies described a magnetic resonance imaging technique. In using transvaginal ultrasonography, the occurrence of a vein greater than five mm crossing the uterine body had a specificity of 91% (95% CI; 77-98%) and occurrence of pelvic varicoceles a sensitivity and specificity of 100% (95% CI; 89-100%) and 83-100% (95% CI; 66-93%), respectively. In transabdominal ultrasonography, reversed caudal flow in the ovarian vein accounted for a sensitivity of 100% (95% CI; 84-100%). Detection of pelvic congestion syndrome with magnetic resonance imaging techniques resulted in a sensitivity varying from 88 to 100%.

Conclusions

The sensitivity of ultrasonography and magnetic resonance imaging seem to be adequate, which indicates a role for both tests in an early stage of the diagnostic workup. However, due to methodological flaws and diversity in outcome parameters, more high standard research is necessary to establish a clear advice for clinical practice.

SUBMITTER: Steenbeek MP

PROVIDER: S-EPMC6033028 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Publications

Noninvasive diagnostic tools for pelvic congestion syndrome: a systematic review.

Steenbeek Miranda P MP van der Vleuten Carine J M CJM Schultze Kool Leo J LJ Nieboer Theodoor E TE

Acta obstetricia et gynecologica Scandinavica 20180223 7

<h4>Introduction</h4>In the work-up of patients with suspected pelvic congestion syndrome, venography is currently the gold standard. Yet if non-invasive diagnostic tools are found to be accurate, invasive venography might no longer be indicated as necessary.<h4>Material and methods</h4>A literature search in Pubmed and EMBASE was performed from inception until 6 May 2017. Studies comparing non-invasive diagnostic tools to a reference standard in the work-up of patients with (suspected) pelvic c ...[more]

PMID: 29381188

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Dataset Information

Noninvasive diagnostic tools for pelvic congestion syndrome: a systematic review.

Introduction

Material and methods

Results

Conclusions

Publications

Noninvasive diagnostic tools for pelvic congestion syndrome: a systematic review.

Similar Datasets

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