Answers

Replied on 10/13/2009

By: The Vein Treatment Center of NJ  |  Dean H. Wasserman, MD, FACS, RVT, FACPh
Paramus, NJ

Interestingly, Pelvic Congestion Syndrome and hemorrhoids are not commonly related. The veins which cause hemorrhoids are usually connected to the Visceral (GUT) circulation, and are caused by changing pressures in the rectum and pelvic muscles. The veins involved in PCS are for the most part those with a varicose tendency similar to leg vein varicosities.

A vivid example is a recent patient with PCS and a very large buttock vein mass who does not have hemorrhoids. While hemorrhoids do not cause Pelvic Congestion Syndrome, symptoms of both conditions can feel similar, while treatment differs significantly.

If you have a know history of hemorrhoids, this is most probably the cause of your symptoms and you most probably will benefit more from a colo-rectal consultation than Vascular consultation.

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