Painful ejaculation in a patient with pelvic venous insufficiency.
Gonadal vein
Painful ejaculation
Pelvic angiography
Pelvic varicosities
Pelvic venous insufficiency
Venous embolization
Journal
Journal of vascular surgery cases and innovative techniques
ISSN: 2468-4287
Titre abrégé: J Vasc Surg Cases Innov Tech
Pays: United States
ID NLM: 101701125
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
07
04
2022
accepted:
15
07
2022
entrez:
17
10
2022
pubmed:
18
10
2022
medline:
18
10
2022
Statut:
epublish
Résumé
Pelvic venous insufficiency (PVI) is common in women but has been rarely diagnosed in men. The clinical manifestations include varicocele and pelvic disturbances; however, we were unable to find a previous description of painful ejaculation as a symptom of PVI. We present the case of a 36-year-old man with a 7-year history of severe sharp ejaculatory pain. PVI was suspected after previous treatment attempts. The diagnosis was confirmed by descending phlebography, and he underwent coil embolization of the pelvic vessels and phlebotonic therapy. At 6 months after treatment, he reported a 75% improvement in his condition. Therefore, painful ejaculation should be considered an uncommon manifestation of PVI.
Identifiants
pubmed: 36248386
doi: 10.1016/j.jvscit.2022.07.014
pii: S2468-4287(22)00127-7
pmc: PMC9556572
doi:
Types de publication
Case Reports
Langues
eng
Pagination
602-605Informations de copyright
© 2022 The Author(s).
Références
Phlebology. 2020 Feb;35(1):4-9
pubmed: 31185797
Cureus. 2020 Oct 30;12(10):e11253
pubmed: 33269171
Radiology. 1987 Apr;163(1):105-10
pubmed: 3547489
Pain Ther. 2021 Dec;10(2):1567-1578
pubmed: 34537951
Presse Med. 2019 Apr;48(4):419-434
pubmed: 31097262
Phlebology. 2015 Mar;30(1 Suppl):86-8
pubmed: 25729073
Semin Intervent Radiol. 2013 Dec;30(4):372-80
pubmed: 24436564
Nihon Hinyokika Gakkai Zasshi. 1996 Aug;87(8):1009-17
pubmed: 8831207
J Vasc Surg. 1991 Nov;14(5):678-83
pubmed: 1942378
Am J Obstet Gynecol. 1949 Apr;57(4):637-53
pubmed: 18113695
AJR Am J Roentgenol. 2015 Feb;204(2):448-58
pubmed: 25615769
Transl Androl Urol. 2016 Aug;5(4):592-601
pubmed: 27652230
Asian J Androl. 2016 Mar-Apr;18(2):182-5
pubmed: 26780869
Phlebology. 2018 Jul;33(6):382-387
pubmed: 28857674
Int J Angiol. 2016 Jun;25(2):121-7
pubmed: 27231429
Adv Clin Exp Med. 2017 Mar-Apr;26(2):269-276
pubmed: 28791845
Transl Androl Urol. 2018 Aug;7(4):686-702
pubmed: 30211060
BJU Int. 2007 Jun;99(6):1335-9
pubmed: 17346279