Descending ovaricovaricocele is caused by violation of the venous flow by the left renal vein and the ascending ovaricovaricocele is a result of the venous congestion in the pelvis originated by the different gynecologic disorders and as a result of the complicated labor.
The risk group for the development of ovaricovaricocele are the patients with nephroptoses, aorto-mesenterial clamp, retroaortal and ring-shaped renal veins, intrarenal arterio-venous fistula, chronic inflammation in the pelvic organs, leiomyoma of the uterus.
Violation of the urodynamics in the upper urinary pathways is caused by the vasoureteral obstruction that increases before menstruation. We vary two varieties of such compression of the distal ureters and of the right ureter at the pelvic bream. Such compression is caused by the varicosely changed utero-vaginal and/or ovarial venous plexuses with development of the fibrous sheet.
Ovaricovaricocele with the pelvic venous congestion leads to the deterioration of the menstrual cycle and development of anovulation. The infertility is caused by slight hypeprolactinemia leading to depression of LH production and increase of the progesterone secretion. Such alteration of the hormonal profile intensify violation of the urodynamics.
The main treatment is the endovascular occlusion of the ovarial vein.
Disappearance of pain, proteinuria, erythrocyturia, clinical manifestation of the chronic pyelonephritis, normalization of the upper urinary pathways, improvement the menstrual cycle with appearance of ovulation and pregnancy points to the correct treatment.