{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T07:28:11Z","timestamp":1793604491525,"version":"4.5.0"},"reference-count":29,"publisher":"Hogrefe Publishing Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasa"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:p>Summary: Background: Pelvic venous disorders (PeVD) are associated with chronic pelvic pain and varicose veins due to venous insufficiency and pooling in the pelvis. Despite increasing interest, there is a lack of widely accepted diagnostic algorithms and validated criteria, which complicates diagnosis and management. This study aimed to develop and validate a diagnostic and therapeutic algorithm for PeVD using expert consensus. Materials and methods: An independent Advisory Board (AB) of 11 Italian specialists (gynaecologist, radiologists, vascular surgeons, and angiologists) was convened. A literature review informed the development of a draft algorithm. Three Delphi survey rounds were conducted, with online and in-person discussions, and a consensus threshold set at \u226570%. Results: All 11 AB members completed the first two survey rounds, and eight completed the third. The median number of diagnosed and treated PeVD cases per expert was 20 and 12 per year, respectively. The group agreed on classifying PeVD into Pelvic Congestion Syndrome (PCS) and compressive\/obstructive syndromes. Endovascular therapy was recognised as standard of care: pelvic embolisation for PCS, stenting for obstructive lesions, and combined approaches when both are present. Clinical success was defined as subjective symptom improvement assessed 3\u20136 months post-procedure. Treatment failure warranted re-evaluation and possible reintervention. Surgical treatment was considered only when conservative and endovascular options failed (37.5% agree, 50% neutral). Conclusions: This Delphi-based consensus produced a validated, multidisciplinary algorithm for the diagnosis and treatment of PeVD. It highlights the need for standardised clinical pathways, but further validation by a broader expert community is warranted.<\/jats:p>","DOI":"10.1024\/0301-1526\/a001267","type":"journal-article","created":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T07:05:16Z","timestamp":1772694316000},"page":"379-388","source":"Crossref","is-referenced-by-count":2,"title":["Delphi consensus on diagnostic and therapeutic pathways for pelvic venous disorders \u2013 A multidisciplinary algorithm"],"prefix":"10.1024","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1201-0508","authenticated-orcid":true,"given":"Domenico","family":"Baccellieri","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Vita-Salute University School of Medicine, San Raffaele Scientific Institute, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Basile","sequence":"additional","affiliation":[{"name":"Dipartimento di Scienze Mediche, Chirurgiche e Tecnologie Avanzate \u2013 Universit\u00e0 di Catania, UOC Radiologia 1, Azienda Ospedaliero Universitaria Policlinico \u201cG. Rodolico \u2013 San Marco\u201d, Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Arena","sequence":"additional","affiliation":[{"name":"Division of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero \u2013 Universitaria di Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2062-4462","authenticated-orcid":true,"given":"Annarita","family":"Dapoto","sequence":"additional","affiliation":[{"name":"Azienda Sanitaria Universitaria Friuli Centrale, Dipartimento Radiologico \u2013 DAI, Udine, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4868-3851","authenticated-orcid":true,"given":"Alessandra","family":"De Cicco Nardone","sequence":"additional","affiliation":[{"name":"Unit of Oncological Gynaecology, Women\u2019s Children\u2019s and Public Health Department, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attilio","family":"Di Spiezio Sardo","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Medicine, Universit\u00e0 degli Studi di Napoli Federico II, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenza","family":"Driul","sequence":"additional","affiliation":[{"name":"Azienda Sanitaria Universitaria Friuli centrale, Dipartimento di Medicina-Universit\u00e0 di Udine, Udine, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Iezzi","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging, Oncological Radiotherapy and Hematology, Fondazione Policlinico Universitario A. 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