Could VNUS Closure make PCS worse?

After having a MRI with contrast, I was diagnosed with pelvic congestion syndrome. I had VNUS closure on my left leg 2 yrs ago. Now, I have horrendous left groin pain, see spots, have strange migraines, heart palpitations, restless leg when I sit, and pain when I lay on my left side. What should I do? Could the VNUS closure make PCS worse?

Answers from doctors (4)


Center for Vein Care

Published on Mar 31, 2017

VNUS closure is very unlikely to cause PCS. Findings of pelvic veins on MRI does not mean you have PCS. This diagnosis is based on the presence of pelvic vein with specific pelvic symptoms. You need to be evaluated to determine if you have PCS.

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Answered by Center for Vein Care

VNUS closure is very unlikely to cause PCS. Findings of pelvic veins on MRI does not mean you have PCS. This diagnosis is based on the presence of pelvic vein with specific pelvic symptoms. You need to be evaluated to determine if you have PCS.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Nov 07, 2014

PCS is due to pelvic vein imcompetence, not saphenous vein incompetence. VNUS closure of the saphenous vein should not make PCS worse and should not cause the symptoms that you are describing.

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Answered by Vanish Vein and Laser Center

PCS is due to pelvic vein imcompetence, not saphenous vein incompetence. VNUS closure of the saphenous vein should not make PCS worse and should not cause the symptoms that you are describing.

Published on Jul 11, 2012


Intermountain Vein Center

Published on Oct 25, 2013

No, I wouldn't suspect that those symptoms came from the ablation done in the leg. Sounds like some of your pelvic veins simply don't function anymore and if the pain is that bad, treatment would be a good option. Were you pregnant after the ablation? Pregnancy is a typical cause or worsening of PCS. There are probably other veins in your legs as well that should be treated. Typically, having just one ablation will not solve the problem, it may require a few treatments to get rid of all damaged veins.

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Answered by Intermountain Vein Center

No, I wouldn't suspect that those symptoms came from the ablation done in the leg. Sounds like some of your pelvic veins simply don't function anymore and if the pain is that bad, treatment would be a good option. Were you pregnant after the ablation? Pregnancy is a typical cause or worsening of PCS. There are probably other veins in your legs as well that should be treated. Typically, having just one ablation will not solve the problem, it may require a few treatments to get rid of all damaged veins.

Published on Jul 11, 2012


Veins etc. at Comprehensive Cardiovascular Consultants

Published on Oct 21, 2013

VNUS closure should not worsen symptoms of pelvic congestion syndrome. But, in general, vein disease and pelvic congestion syndrome can worsen on their own. Both are progressive in nature unless measures are taken to fully treat them. I would suggest that you consult with a board-certified vascular surgeon. You need to be tested for both.

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Answered by Veins etc. at Comprehensive Cardiovascular Consultants

VNUS closure should not worsen symptoms of pelvic congestion syndrome. But, in general, vein disease and pelvic congestion syndrome can worsen on their own. Both are progressive in nature unless measures are taken to fully treat them. I would suggest that you consult with a board-certified vascular surgeon. You need to be tested for both.

Published on Jul 11, 2012


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