Summary
Pudendal varicosities can affect the large and small pudendal lips in the form of
vulvar varicosis, the proximal thigh as pudendal varicosis in the narrower sense of
the term and the perineum as perineal varicosis. They occur particularly frequently
during pregnancy, but usually regress promptly postpartum. As there are no known delivery
complications associated with pudendal varicosities and sclerosants are not authorised
for use during pregnancy, sclerotherapy of pudendal varicosis should be performed
outside pregnancy. Clinical examination is supplemented by duplex ultrasound examination
of the leg veins. Further diagnostic imaging of the pelvic veins is advisable if symptoms
of pelvic congestion syndrome are present. Sclerotherapy of pudendal varicosities
may be indicated in the event of local symptoms and complications, if pudendal varicosities
are the source of leg varicosis requiring therapy and/ or for cosmetic reasons.
English version available at www.phlebologieonline.de
Keywords
Vulvar varicosis - sclerotherapy - pudendal varicosities - pregnancy
