Please explain me the risks associated with PCS in anesthesia induced surgery.
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am suffering from pelvic congestion syndrome. I just wanted to know if there are any risks with anesthesia such as blood clot, renal failure, potential embolism or death? I am asking this, because I was scheduled for a surgery in the next four days. The surgery would be a three hour procedure. I do not have any clarifications from the doctors. I do not want to hurt myself due to lack of knowledge. If anyone can assist me in this, then I would sincerely appreciate any information about my suffering. Please explain me the risk associated with PCS in an anesthesia induced surgery. I am desperate and afraid. Thank you for your time and assistance.
Hi,
Welcome to icliniq.com. Pelvic congestion can potentially lead to complications like thrombosis. The degree of risk is contingent upon the nature of the surgery you're undergoing, of which you haven't provided specifics. Could you please clarify if the diagnosis of pelvic congestion was determined through ovarian venography? If so, there are treatment options available, if deemed necessary, which can be pursued prior to your surgery.
Patient's Query
Thank you doctor,
I am undergoing breast augmentation with mastopexy. The diagnosis of pelvic congestion was made from an MRI, which stated mildly prominent pelvic venous vascularity, which can be seen in the setting of pelvic congestion syndrome. Unfortunately, I cannot receive treatment such as embolization prior to surgery as everything is done in referrals. I will not be meeting interventional radiologist until after I meet with urologist or a gynecologist the next month. Please provide further clarification and thoughts.
Hi,
Welcome back to icliniq.com. Given that the MRI indicates only mild prominence of the venous system, there shouldn't be major concerns. If you lack risk factors such as smoking, hormonal treatment, past history of cancer, or thrombosis, the risk is minimal. If you still feel anxious, it's worthwhile to have a discussion with your surgeon about potentially incorporating anticoagulation in the postoperative phase. In my view, it might not be necessary, particularly since the surgery doesn't involve manipulation of deep structures, and early mobilization is feasible with mastopexy. I'm curious to know the reason behind the initial MRI of the pelvis.
Patient's Query
Thank you doctor,
I was a smoker. I used to smoke about 5 to 10 cigarettes per day for the past six years. I stopped smoking just about a week ago, so that there is a gap of three weeks prior to surgery with no cigarettes. I am nervous as I am having pain in both my calves that travels up like a bruise type pain and hot spots. But, when the doctor examined my leg, she said it was not DVT. Still, they may do a Doppler on the legs before surgery. I had an MRI done after almost two years of chronic pain. I still have it and I am waiting to undergo some type of treatment.
Hi,
Welcome back to icliniq.com. According to the Well's criteria, there isn't an elevated risk of thrombosis for you, which is reassuring. Regarding your calf pain, it's advisable to undergo an evaluation for vitamin D deficiency and consider taking vitamin D, calcium, and vitamin E supplements, as they might be beneficial. Do have a conversation about this with your doctor.
For your chronic pelvic pain, I've witnessed promising outcomes with Sujok acupuncture. Some case reports suggest that yoga postures involving pelvic twist motions could also provide relief from such pain. Feel free to discuss these options with your healthcare provider.
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