Can Endovenous Laser Ablation be used on a Vulvar Vericosity?
The important point regarding vulvar varicosities, as in all varicosities, is an accurate venous duplex examination. This can frequently pinpoint the source of these varicosities. Frequently, these varicosities arise as refluxing veins around the origin of the saphenous vein and hence can easily be treated Sclerotherapy but not Endovenous Laser Ablation.
Published on Jul 11, 2012
The important point regarding vulvar varicosities, as in all varicosities, is an accurate venous duplex examination. This can frequently pinpoint the source of these varicosities. Frequently, these varicosities arise as refluxing veins around the origin of the saphenous vein and hence can easily be treated with either Laser Ablation or Sclerotherapy.
Published on Jul 11, 2012
Vulvar varicosities are a sigh of Pelvic venous insufficiency. This is treated differently; usually by embolization and sclerotherapy.
Published on Jul 11, 2012
Foam sclerotherapy usually is a much better option.
Published on Jul 11, 2012
Generally not.
Vulvar varices generally arise from pelvic veins, and these are treated in a different way.
Published on Jul 11, 2012
No. In fact, endovenous laser ablation is not used for the actual varicose veins, it's used for the underlying "cause." Vulvar varicosities can be treated however. Sclerotherapy is usually the best treatment.
Published on Jul 11, 2012
We don't use laser we use VNUS. In any event, we've treated this with foam sclerotherapy and it seems to work. I would schedule an appointment to find the cause.
Published on Jul 11, 2012
Vulvar varicosities are usually caused by ovarian vein or internal pudendal vein insufficiency. This is also called pelvic congestion syndrome. These varicosities are not treated with ablation but with embolization.
Published on Jul 11, 2012
ELA usually cannot be used on a vulvar varicosity. To use ELA the vein must be of adequate caliber and relatively straight. If vulvar varicosities are due to saphenous reflux , then the saphenous reflux can be treated with ELA. Vulvar varicosities are treated with sclerotherapy or localized microphlebectomies. Pelvic congestion syndrome may also need to be evaluated.
Published on Jul 11, 2012