I still have varicose veins after having a VNUS procedure. What can be done? Are there any new treatments available?

I had a varicose vein in my lower part of my leg. After VNUS procedure approx. 10 years ago, I have developed huge bulging vein from my groin to the knee. I also have pain and bulging vein in my groin. What should I do? What would be the best procedure to get rid of my veins?

Answers from doctors (9)


Advanced Vein Center

Published on Jul 21, 2015

Get another ultrasound exam to see what has happened. Should still be easy to treat.

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Answered by Advanced Vein Center

Get another ultrasound exam to see what has happened. Should still be easy to treat.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Jul 08, 2015

Time for a full evaluation by a vascular surgeon who specializes in treating these veins. It is possible that the vnus has failed or that you have developed an accessory vein. You have a condition which is some times "chronic" and some people have other veins fail

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Answered by Vein Specialties of St. Louis

Time for a full evaluation by a vascular surgeon who specializes in treating these veins. It is possible that the vnus has failed or that you have developed an accessory vein. You have a condition which is some times "chronic" and some people have other veins fail

Published on Jul 11, 2012


Vascular Center and Vein Clinic of Southern Indiana

Published on Jul 02, 2015

The most effective and permanent treatment for bulging varicose veins is stab phlebectomy by a Vascular Surgeon.

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Answered by Vascular Center and Vein Clinic of Southern Indiana

The most effective and permanent treatment for bulging varicose veins is stab phlebectomy by a Vascular Surgeon.

Published on Jul 11, 2012


Texas Vein And Cosmetic Specialists

Published on Jul 02, 2015

You should see a board certified vascular surgeon, specializing in treatment of veins, for a venous ultrasound to define the problem, and develop a treatment plan.

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Answered by Texas Vein And Cosmetic Specialists

You should see a board certified vascular surgeon, specializing in treatment of veins, for a venous ultrasound to define the problem, and develop a treatment plan.

Published on Jul 11, 2012


Vein Specialists of Arizona

Published on Jul 02, 2015

You need a complete bilateral lower extremity venous ultrasound to determine the cause, location and severity of what you see and feel. This would then dictate the best means for treatment.

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Answered by Vein Specialists of Arizona

You need a complete bilateral lower extremity venous ultrasound to determine the cause, location and severity of what you see and feel. This would then dictate the best means for treatment.

Published on Jul 11, 2012


More About Doctor St. Louis Vein Center

Published on Jul 02, 2015

Varicose vein often recur after ablation procedures especially if the tributary varicose veins are not completely eliminated. The best treatment for recurrent varicose veins is sclerotherapy.

Answered by St. Louis Vein Center (View Profile)

Varicose vein often recur after ablation procedures especially if the tributary varicose veins are not completely eliminated. The best treatment for recurrent varicose veins is sclerotherapy.

Published on Jul 11, 2012


It is not uncommon for a branch of great saphenous vein (anterior or posterior accessory branch) to hypertrophy after VNUS closure procedure and create more varicosities on the leg. You will need to have doppler ultrasound of your veins in a vein clinic and then chart out a treatment plan with a vein specialist. In addition to closure procedure you may need phlebectomy of bulging veins.

Answered by Premier Vein and Vascular Center (View Profile)

It is not uncommon for a branch of great saphenous vein (anterior or posterior accessory branch) to hypertrophy after VNUS closure procedure and create more varicosities on the leg. You will need to have doppler ultrasound of your veins in a vein clinic and then chart out a treatment plan with a vein specialist. In addition to closure procedure you may need phlebectomy of bulging veins.

Published on Jul 11, 2012


Advanced Surgical Arts

Published on Jul 02, 2015

Varicose veins from the groin often arise from inside the pelvis. For women, they may be associated with pelvic venous congestion syndrome, among other causes. I would suggest discussing your condition with an Interventional Radiologist who can do a diagnostic evaluation for the pelvis, and depending on the nature of the problem, may be able to treat the source of your varicose veins.

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Answered by Advanced Surgical Arts

Varicose veins from the groin often arise from inside the pelvis. For women, they may be associated with pelvic venous congestion syndrome, among other causes. I would suggest discussing your condition with an Interventional Radiologist who can do a diagnostic evaluation for the pelvis, and depending on the nature of the problem, may be able to treat the source of your varicose veins.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Jul 02, 2015

The first step would be to have a venous ultrasound to see the anatomy of the veins and the cause of the new bulging veins. Depending on the ultrasound findings, a diagnosis can be made and recommendations for treatment. See a vein specialist.

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Answered by Vanish Vein and Laser Center

The first step would be to have a venous ultrasound to see the anatomy of the veins and the cause of the new bulging veins. Depending on the ultrasound findings, a diagnosis can be made and recommendations for treatment. See a vein specialist.

Published on Jul 11, 2012


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