Syndromic terminology for pelvic venous disorders, such as May-Thurner, nutcracker or pelvic congestion syndromes, should be abandoned and the new symptoms-varices-pathophysiology (SVP) classification embraced. This will help avoid confusion and allow clinicians to categorise these diverse patient populations into more homogeneous groups, enabling better comparisons, data analysis and treatment guidelines.
- The pelvic veins are interconnected with the lower limb veins. Pelvic venous disorders can thus cause a diverse range of symptoms, affecting the pelvis or the lower limbs.
- Symptoms of pelvic venous disorders are reproducible and related to gravity and exercise and relieved by rest.
- Pelvic venous compression and reflux are widely prevalent in the general population and symptom expression is not well understood.
- Syndromic terminology should be abandoned in favour of the more concise SVP classification, which links symptoms, anatomy and pathophysiology and gives clinicians and patients a common platform for understanding and formulating management plans.
- Patients with pelvic venous disorders that are considered clinically relevant can be treated safely and effectively with minimally invasive options.