Is Pelvic Pain Incompetence Associated with Symptoms of Chronic Pelvic Pain in Women? A Pilot Study

Vivak Hansrani, Julie Morris, Ann Louise Caress, Katherine Payne, Mourad Seif, Charles N. McCollum

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective Pelvic vein incompetence (PVI) affects 15-20% of all women, yet we know little about how it affects sufferers. The aim of this prospective pilot study was to explore symptoms experienced by women with PVI, and determine its impact on quality of life and NHS costs. Study design Case-control study at a UK University teaching hospital conducted over an eight-month period. Cases were 40 premenopausal women aged 18-49 years with PVI and varicose veins (VV). There were two age-matched controls groups: (i) 40 healthy women with no PVI but with VV, and (ii) 40 healthy women with no PVI and no VV. Subjects were asked to complete a structured questionnaire on disease specific outcomes, health status and use of healthcare resources. Results Mean age (range) was 39.8 (24-47) years for cases, 39.1 (24-49) for VV controls and 38 (25-49) for healthy controls. Pelvic pain was reported by 38 of 40 (95%) PVI cases, compared with 25 of 40 (62%) VV controls, and 26 of 40 (65%) healthy controls (p = 0.001). The median (range) EQ-5D utility score for PVI cases was 0.80 (0.29-1.0) compared with 0.80 (0.09-1.0) for VV controls and 1.0 (0.62-1.0) for healthy controls (p = 0.002). Of the 40 PVI cases, 35 (88%) visited a consultant in the previous 12 months compared with 12 of 40 (30%) VV controls, and 14 of 40 (35%) healthy controls (p < 0.001). Conclusions Women with PVI report a greater frequency of pelvic pain with reduced health status and increased use of healthcare resources compared with matched controls.

Original languageEnglish
Pages (from-to)21-25
Number of pages5
JournalEuropean Journal of Obstetrics Gynecology and Reproductive Biology
Volume196
DOIs
Publication statusPublished - 1 Jan 2016

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Pelvic Pain
Chronic Pain
Varicose Veins
Veins
Health Status
Delivery of Health Care
Consultants
Teaching Hospitals
Case-Control Studies
Research Design
Quality of Life
Prospective Studies
Costs and Cost Analysis
Control Groups

Cite this

Hansrani, Vivak ; Morris, Julie ; Caress, Ann Louise ; Payne, Katherine ; Seif, Mourad ; McCollum, Charles N. / Is Pelvic Pain Incompetence Associated with Symptoms of Chronic Pelvic Pain in Women? A Pilot Study. In: European Journal of Obstetrics Gynecology and Reproductive Biology. 2016 ; Vol. 196. pp. 21-25.
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title = "Is Pelvic Pain Incompetence Associated with Symptoms of Chronic Pelvic Pain in Women? A Pilot Study",
abstract = "Objective Pelvic vein incompetence (PVI) affects 15-20{\%} of all women, yet we know little about how it affects sufferers. The aim of this prospective pilot study was to explore symptoms experienced by women with PVI, and determine its impact on quality of life and NHS costs. Study design Case-control study at a UK University teaching hospital conducted over an eight-month period. Cases were 40 premenopausal women aged 18-49 years with PVI and varicose veins (VV). There were two age-matched controls groups: (i) 40 healthy women with no PVI but with VV, and (ii) 40 healthy women with no PVI and no VV. Subjects were asked to complete a structured questionnaire on disease specific outcomes, health status and use of healthcare resources. Results Mean age (range) was 39.8 (24-47) years for cases, 39.1 (24-49) for VV controls and 38 (25-49) for healthy controls. Pelvic pain was reported by 38 of 40 (95{\%}) PVI cases, compared with 25 of 40 (62{\%}) VV controls, and 26 of 40 (65{\%}) healthy controls (p = 0.001). The median (range) EQ-5D utility score for PVI cases was 0.80 (0.29-1.0) compared with 0.80 (0.09-1.0) for VV controls and 1.0 (0.62-1.0) for healthy controls (p = 0.002). Of the 40 PVI cases, 35 (88{\%}) visited a consultant in the previous 12 months compared with 12 of 40 (30{\%}) VV controls, and 14 of 40 (35{\%}) healthy controls (p < 0.001). Conclusions Women with PVI report a greater frequency of pelvic pain with reduced health status and increased use of healthcare resources compared with matched controls.",
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Is Pelvic Pain Incompetence Associated with Symptoms of Chronic Pelvic Pain in Women? A Pilot Study. / Hansrani, Vivak; Morris, Julie; Caress, Ann Louise; Payne, Katherine; Seif, Mourad; McCollum, Charles N.

In: European Journal of Obstetrics Gynecology and Reproductive Biology, Vol. 196, 01.01.2016, p. 21-25.

Research output: Contribution to journalArticle

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T1 - Is Pelvic Pain Incompetence Associated with Symptoms of Chronic Pelvic Pain in Women? A Pilot Study

AU - Hansrani, Vivak

AU - Morris, Julie

AU - Caress, Ann Louise

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AU - Seif, Mourad

AU - McCollum, Charles N.

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AB - Objective Pelvic vein incompetence (PVI) affects 15-20% of all women, yet we know little about how it affects sufferers. The aim of this prospective pilot study was to explore symptoms experienced by women with PVI, and determine its impact on quality of life and NHS costs. Study design Case-control study at a UK University teaching hospital conducted over an eight-month period. Cases were 40 premenopausal women aged 18-49 years with PVI and varicose veins (VV). There were two age-matched controls groups: (i) 40 healthy women with no PVI but with VV, and (ii) 40 healthy women with no PVI and no VV. Subjects were asked to complete a structured questionnaire on disease specific outcomes, health status and use of healthcare resources. Results Mean age (range) was 39.8 (24-47) years for cases, 39.1 (24-49) for VV controls and 38 (25-49) for healthy controls. Pelvic pain was reported by 38 of 40 (95%) PVI cases, compared with 25 of 40 (62%) VV controls, and 26 of 40 (65%) healthy controls (p = 0.001). The median (range) EQ-5D utility score for PVI cases was 0.80 (0.29-1.0) compared with 0.80 (0.09-1.0) for VV controls and 1.0 (0.62-1.0) for healthy controls (p = 0.002). Of the 40 PVI cases, 35 (88%) visited a consultant in the previous 12 months compared with 12 of 40 (30%) VV controls, and 14 of 40 (35%) healthy controls (p < 0.001). Conclusions Women with PVI report a greater frequency of pelvic pain with reduced health status and increased use of healthcare resources compared with matched controls.

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KW - Chronic pelvic pain

KW - Pelvic congestion syndrome

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