Андрология и генитальная хирургия (May 2017)

MAY–THURNER SYNDROME OF MEN

  • O. B. Zhukov,
  • V. A. Ukolov,
  • V. M. Snitkin,
  • E. V. Babushkina,
  • V. V. Evdokimov

DOI
https://doi.org/10.17650/2070-9781-2017-18-1-39-47
Journal volume & issue
Vol. 18, no. 1
pp. 39 – 47

Abstract

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May–Thurner syndrome is a complex disease diagnosed. Most often it occurs in young men with unrealized fatherhood. From September 2015 to December 2016 164 men are examined with suspected varicocele. The diagnosis of May–Thurner syndrome is confirmed in 6 patients (2.7 %). The average age of patients with May–Thurner syndrome was 26.4 ± 4.4g (17–38 years old). If you suspect a May–Thurner syndrome, diagnostic algorithm appropriate to start with a search of the asymmetry of blood flow in the iliac veins according to Doppler ultrasound. The optimum therapeutic tactics in these patients will be left intravascular stenting iliac veins in identifying positive pressure gradient in it more than10 mmHg compared with the inferior vena cava.

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