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The pelvic congestion syndrome (PCS) is a complex and multifactorial condition associated with inflammatory and hormonal etiophatogenesis similar to the endometriosis.
Furthermore, both pathologies share same clinical symptoms as chronic pelvic pain and dyspareunia.
Our hypothesis is that PCS prevalence is higher in patients with endometriosis than in those without clinical or ultrasound signs of endometriosis.
Patients undergoing routine gynecological examinations are included in the study.
Patients are divided into 2 groups:
The study also evaluates the correlation between:
Ultrasound parameters of pelvic vascular insufficiency are:
This evaluation includes the study of uterine and ovarian vessels, using different techniques:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: endometriosis | assessment of pain symptoms at first medical examination; assessment of pelvic vascular insufficiency signs. |
| |
| Group B: no endometriosis | assessment of pain symptoms at first medical examination; assessment of pelvic vascular insufficiency signs. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| assessment of pain symptoms at first medical examination | Procedure | First medical examination consists of collection of medical history and standard gynecological examination (bimanual gynecological examination and abdominopelvic ultrasounds). Data regarding age, Body Mass Index, ongoing hormone therapy and pelvic pain symptoms, assessed according to Visual Analogue Scale (VAS) (from 0= no pain to 10= unbearable pain), are collected. The presence of perineal or lower limb varices and the presence and localization of evoked pain at bimanual gynecological examination are also evaluated. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of pelvic congestive syndrome in patients with endometriosis | Comparison of pelvic congestive syndrome symptoms and ultrasounds characteristics, assessed by standard gynecological examination (bimanual gynecological examination and gynecological ultrasounds), between patients with endometriosis (Group A) and without clinical or ultrasound signs of endometriosis. | 1 day, first medical examination |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between type of pain and pelvic congestive syndrome | Evaluation of the type of pain (dysmenorrhea, chronic pelvic pain, ovulation pain, dyspareunia, dysuria, dyschezia) presented by patients with pelvic congestive syndrome. | 1 day, first medical examination |
| Correlation between pain severity and pelvic congestive syndrome |
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Inclusion Criteria (Group A):
Inclusion Criteria (Group B):
Exclusion Criteria:
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Patients undergoing routine gynecological examinations in our center are included in the study.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Diego Raimondo | Contact | 00390512144385 | die.raimondo@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gynecology and Physiopathology of Human Reproductive Unit, University of Bologna, S. Orsola-Malpighi Hospital | Recruiting | Bologna | BO | 40138 | Italy |
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| ID | Term |
|---|---|
| D004715 | Endometriosis |
| ID | Term |
|---|---|
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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|
| assessment of pelvic vascular insufficiency signs | Procedure | Assessment of pelvic vascular insufficiency in conducted using abdominopelvic ultrasounds, according to the following parameters:
This evaluation includes the study of uterine and ovarian vessels, using different techniques:
|
|
Evaluation of a possible correlation between pain severity and the presence of pelvic congestive syndrome. Pain severity is assessed according to Visual Analogue Scale (VAS scale from 0= no pain to 10= unbearable pain). |
| 1 day, first medical examination |
| Correlation between symptoms and ongoing medical treatments | Evaluation of a possible correlation between symptoms and ongoing medical treatments in patients with pelvic congestive syndrome | 1 day, first medical examination |
| Correlation between history of pelvic surgery and pelvic congestive syndrome | Evaluation of a possible correlation between history of pelvic surgery and the presence of pelvic congestive syndrome | 1 day, first medical examination |
| D000091662 | Genital Diseases |