{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T20:34:34Z","timestamp":1785789274125,"version":"3.56.0"},"reference-count":53,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Comorbidities associated with venous origin chronic pelvic pain (VO-CPP) were evaluated pre and post venous treatment to assess change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>45 women with VO-CPP were treated with venous stenting and\/or embolization. Four surveys assessed symptoms pre- and post-treatment: IPPS (chronic pelvic pain), PUF (interstitial cystitis), OHQ (dysautonomia), and modified ROME III (IBS). Prevalence of joint hypermobility was investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ages were 18\u201365. Pretreatment, 64% and 49% of women were in the severe range for PUF and OHQ, respectively. 40% and 56% met criteria for IBS and Ehlers-Danlos syndrome\/Hypermobility Spectrum Disorder (EDS\/HSD), respectively. 17eceived an iliac stent, 5 pelvic embolization, and 23 both. Post-treatment, average scores improved: IPPS (by 55%), PUF (34%), and OHQ (49%). Rome III improved only slightly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pelvic pain, interstitial cystitis, and dysautonomia were frequently found with VO-CPP and improved after venous treatment. EDS\/HSD and IBS were common in these women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02683555231219737","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T05:42:16Z","timestamp":1701754936000},"page":"202-213","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Improvement in chronic pelvic pain, orthostatic intolerance and interstitial cystitis symptoms after treatment of pelvic vein insufficiency"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3369-4534","authenticated-orcid":false,"given":"Steven J","family":"Smith","sequence":"first","affiliation":[{"name":"Vascular and Interventional Professionals, LLC, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8064-7810","authenticated-orcid":false,"given":"Michael J","family":"Sichlau","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Vascular and Interventional Professionals, Hinsdale, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5126-5445","authenticated-orcid":false,"given":"B Holly","family":"Smith","sequence":"additional","affiliation":[{"name":"Center for the Advanced Study of Human Paleobiology, George Washington University, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dacre RT","family":"Knight","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine, Mayo Clinic, Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Chen","sequence":"additional","affiliation":[{"name":"Touro University California College of Osteopathic Medicine, Vallejo, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3586-2677","authenticated-orcid":false,"given":"Peter C","family":"Rowe","sequence":"additional","affiliation":[{"name":"The Johns Hopkins University, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,12,5]]},"reference":[{"key":"bibr1-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2018.10.008"},{"key":"bibr2-02683555231219737","doi-asserted-by":"publisher","DOI":"10.23736\/S0392-9590.19.04237-8"},{"key":"bibr3-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1636519"},{"key":"bibr4-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2020.06.017"},{"key":"bibr5-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2017.09.007"},{"key":"bibr6-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2015.01.003"},{"key":"bibr7-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1988.tb06845.x"},{"key":"bibr8-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000194870.11980.F8"},{"key":"bibr9-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-013-0760-6"},{"issue":"1","key":"bibr10-02683555231219737","first-page":"26","volume":"1","author":"Hodgkinson CP","year":"1953","journal-title":"Obstet Gynecol"},{"key":"bibr11-02683555231219737","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10040736"},{"key":"bibr12-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1177\/02683555221112567"},{"key":"bibr13-02683555231219737","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-134-9_Part_2-200105011-00011"},{"key":"bibr14-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1016\/j.autneu.2018.02.006"},{"key":"bibr15-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1053\/gast.2002.32392"},{"key":"bibr16-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22971"},{"key":"bibr17-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2016.04.016"},{"key":"bibr18-02683555231219737","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.14.12709"},{"key":"bibr19-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2019.09.015"},{"key":"bibr20-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2017.07.009"},{"key":"bibr21-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.c.31552"},{"key":"bibr22-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-019-03871-x"},{"key":"bibr23-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1111\/joim.12852"},{"key":"bibr24-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1359731"},{"key":"bibr25-02683555231219737","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2019.04.033"},{"key":"bibr26-02683555231219737","unstructured":"O'Rourke M. 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