{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T05:03:59Z","timestamp":1789448639492,"version":"build-2803163510"},"reference-count":38,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"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":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate how obstetricians\u2019 and gynaecologists\u2019 self-rated familiarity with pelvic venous disorders (PeVD), including pelvic congestion syndrome (PCS), and local interventional access relate to self-reported recognition, diagnostic choices, and management pathways in chronic pelvic pain (CPP) care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted an anonymous web-based survey of obstetricians and gynaecologists involved in CPP care in T\u00fcrkiye between January 2026 and February 2026. Outcomes were frequency of considering PCS\/PeVD, self-reported annual PCS diagnoses, first-choice imaging, clinical approach, and treatment knowledge. Ordinal proportional-odds and multinomial logistic regression models adjusted for age, gender, years in practice, institution type, and monthly CPP volume; interventional radiology\/embolisation availability was added where clinically relevant. The invitation denominator could not be reliably enumerated, so no response rate was calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 528 respondents, 79.8% considered PCS\/PeVD at least sometimes and 20.3% considered it very rarely. In the past year, 25.2% reported no PCS diagnoses, 58.9% reported 1\u20135, 12.5% reported 6\u201310, and 3.4% reported &gt;10. Transvaginal Doppler ultrasound was the most common first-choice imaging modality (78.4%). Limited self-rated familiarity was associated with lower odds of more frequent consideration (aOR 0.25, 95% CI 0.17\u20130.37), whereas university-hospital setting was associated with higher consideration frequency (aOR 2.94, 95% CI 1.29\u20136.69). On-site embolisation availability was associated with a lower relative risk of choosing no PCS-specific treatment versus conservative management (RRR 0.23, 95% CI 0.06\u20130.84). Limited familiarity was also associated with lower treatment knowledge (aOR 0.42, 95% CI 0.29\u20130.61).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Self-rated familiarity and local interventional access were associated with self-reported PCS\/PeVD recognition and management choices. These exploratory associations should be interpreted cautiously because key exposure and outcome measures were subjective and partly overlapping. PeVD-oriented education, ultrasound training, and clearer multidisciplinary referral routes warrant prospective evaluation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02683555261469786","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T16:10:31Z","timestamp":1783786231000},"page":"815-824","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pelvic venous disorders in chronic pelvic pain care in T\u00fcrkiye: A cross-sectional e-survey among obstetricians and gynaecologists"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1431-2294","authenticated-orcid":false,"given":"Erhan H\u00fcseyin","family":"C\u00f6mert","sequence":"first","affiliation":[{"name":"Private Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umran","family":"Karabulut Dogan","sequence":"additional","affiliation":[{"name":"Ac\u0131badem Kayseri Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tugce","family":"Baykara","sequence":"additional","affiliation":[{"name":"Ac\u0131badem Kayseri Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cavide","family":"Ali","sequence":"additional","affiliation":[{"name":"Ac\u0131badem Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pinar","family":"Kadirogullari","sequence":"additional","affiliation":[{"name":"Private Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozan","family":"Dogan","sequence":"additional","affiliation":[{"name":"Istanbul Nisantasi University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,11]]},"reference":[{"issue":"5","key":"e_1_3_8_2_2","first-page":"342","article-title":"The symptoms-varices-pathophysiology classification of pelvic venous disorders: a report of the American vein","volume":"36","author":"Meissner MH","year":"2021","unstructured":"Meissner MH, Khilnani NM, Labropoulos N, et al. The symptoms-varices-pathophysiology classification of pelvic venous disorders: a report of the American vein. Lymphatic Society International Working Group on Pelvic Venous Disorders. Phlebology 2021; 36(5): 342\u2013360.","journal-title":"Lymphatic Society International Working Group on Pelvic Venous Disorders. Phlebology"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/02683555241257155"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2018.10.008"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/02683555251314285"},{"key":"e_1_3_8_6_2","volume-title":"Endovascular management of pelvic congestion syndrome: an expert consensus statement","author":"Le Pennec V","year":"2025","unstructured":"Le Pennec V, Douane F, Brun JL, et al. Endovascular management of pelvic congestion syndrome: an expert consensus statement. 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