Pelvic Congestion Syndrome Diagnosis & Planning w/ Dr. Mark Meissner | BackTable Podcast Ep. 101

Vascular Surgeon Dr. Mark Meissner and Interventional Radiologist Dr. Michael Cumming discuss diagnosis and treatment planning for Pelvic Congestion Syndrome. This is Part 1 of 2 on Pelvic Congestion Syndrome.
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SHOW NOTES
In this episode, Dr. Mark Meissner and Dr. Michael Cumming join Dr. Michael Barraza to discuss Pelvic Congestion Syndrome. We discuss the pathophysiology of Pelvic Congestion Syndrome and the fundamentals of pelvic venous hypertension. Dr. Meissner and Dr. Cumming tell us how patients end up in their clinic.
We discuss why it is important to distinguish primary and secondary causes of Pelvic Congestion Syndrome and the dangers of an incomplete embolization. We review some techniques for ultrasounds, why not to rely on cross-sectional imaging, and the advantages of getting a CT for the Pelvic Congestion Syndrome patient.
We discuss how to adapt treatment plans for women that have never been pregnant or women that are post-menopausal. Dr. Meissner and Dr. Cumming explain how they frame their goals and expectations for each patient’s treatment process, and we examine when it is appropriate to use a multi-modality approach to treat Pelvic Congestion Syndrome.
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RESOURCES
Check out our other episode featuring Dr. Michael Cumming:
www.backtable.com/shows/vi/po...
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The BackTable Podcast is a resource for interventional radiologists, vascular surgeons, interventional cardiologists, and other interventional and endovascular specialists to learn tips, techniques, and the ins and outs of the devices in their cabinets.
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[@PelvicCongestionRelief]

Thank you for this excellent episode!

[@gigieyre]

I really learned a lot from the video. Especially the last 5 minutes. I've been suffering with this condition since puberty. I'm now 55. A little less than a week ago, I had 4 coils and 1 vein embolism. Now I feel worse than I did before. The reason is because I thought this was going to solve all the problems. When I woke up from my surgery, the doctor said that he decided not to do a stent in the iliac vein. He thought we could wait and see if what he did worked. I was devastated since this is where most of my pain comes from. My leg swells, hip aches, lower pelvis is swollen and I just knew this would be my cure. If he had only stated that it might be a 2 step process before hand, I would have received that news so much better. Now, I can't wear the compression hose, do the leg compression machine or work a full day (since I'm a pre-k teacher) until I go back for my check up. I feel very discouraged. I know that I'll survive because I have for 50 years. It's always best to say up front that something might be a 2 step process. Or even that the percentage is 75%. That way people are prepared.

[@KC-xp9of]

Thank you for this information. I was diagnosed with PCS when I had exploratory laparoscopy surgery. Now I'm having a difficult time finding the right doctor to help me with my debilitating chronic pelvic pain. I'm in So. California. Any suggestions how to find the right doctor? When I call vein specialists, I'm told they never heard of PCS.

[@ronargente8061]

You can see Dr Grace Knuttinen from Mayo Clinic. She specializes with PCS.