- New stuff to read and discuss
- What patients say
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- Why the diagnosis of a psychosomatic illness is often a misdiagnosis
- Vascular Compression Syndromes
- Do you have questions?
- Checklist vascular compression syndromes
- Description of your symptoms
- Researchers from the Mayo Clinic confirm my concept of the Midline Congestion Syndrome
- Musculoskeletal pecularities of female puberty
- Lordosis /Swayback- Origin of many abdominal compression syndromes
- Nutcracker-Syndrome is a misnomer! Lordogenetic left renal vein compression is a more appropriate name!
- May-Thurner-constellation (May-Thurner-syndrome, Cockett’s syndrome)
- Midline (congestion) syndrome
- Pelvic congestion syndrome
- Celiac Trunk Compression / Dunbar syndrome / MALS / Arcuate ligament syndrome
- Wilkie-Syndrome / Superior-mesenteric-artery-syndrome
- Evlauation of vascular compressions with the PixelFlux-method
- Connective tissue disorders predispose to multiple compressions
- Postural tachycardia syndrome (POTS) – the hemodynamic consequence of vascular compression syndromes and loose connective tissue
- Restless legs-a little known symptom of abdominal vascular compression syndromes
- Pudendal neuralgia in vascular compression syndromes
- Migraine and Multiple Sclerosis
- Treatment of vascular compression syndromes
- Fatal errors in the treatment of vascular compression syndromes
- Risks of stents in venous compression syndromes
- Surgical treatment of abdominal compression syndromes: The significance of hypermobility‐related disorders
- Nutcracker and May-Thurner syndrome: Decompression by extra venous tube grafting and significance of hypermobility related disorders
- Our surgical treatment of vascular compressions
- Vascular compression syndromes I recently detected
- Detection of a new compression syndrome : Bilateral compression of the internal iliac vein between the psoas muscle and the internal iliac artery in a patient with chronic penile pain
- Diaphragmatic compression of the hepatic veins – a novel compression syndrome
- Post-prandial pain in the right upper abdomen due to a newly detected compression syndrome of the right renal vein
- A new sonographic sign of severe orthostatic venous pooling
- Gradually increasing, unbearable pain in the left flank only when standing or sitting – first description of a new compression syndrome
- A rare variant of Wilkie syndrome
- Kaleidoscope of instructive cases
- POTS – different from what you might think: an example
- Severe ataxia in a young woman with severe spinal congestion – complete resolution after decompression of the left renal vein
- Enigma resolved: vomiting during hip stretching
- Swollen bluish feet nausea unbearable epigastric and breast pain plus breathlessness
- Muscle cramps caused by a posture dependent pubic compression of the femoral artery
- Unbearable orthostatic pain in the autotransplanted left kidney
- Unbearable abdominal pain only while standing – easily diagnosed with PixelFlux
- Gradually increasing, unbearable pain in the left flank only when standing or sitting – first description of a new compression syndrome
- Abdominal pain due to liver compression in slipping rib syndrome in an EDS patient
- Genital and sexual symptoms of vascular compression syndromes – patient with ulcer of labia minora
- Posture dependent left flank / thoracic / lumbar pain – a new compression syndrome I recently detected
- Posture dependent unbearable breathlessness and fullness in the right upper abdomen due to a variable diaphragmatic compression of the hepatic veins and the vena cava inferior
- Migraines may develop in the wake of vascular compression syndromes
- Diaphragmatic compression of the liver veins with hepatic and intestinalis congestion
- Ultrasound Diagnostics
- Profile
- Functional colour Doppler ultrasound – how I do it
- Perfusion Measurement – PixelFlux-method
- Research
- Publications
- Nutcracker and May-Thurner syndrome: Decompression by extra venous tube grafting and significance of hypermobility related disorders
- Papers authored by Th. Scholbach
- Publications
- Inauguration of measurements of the tissue pulsatility index in renal transplants
- From nutcracker phenomenon to midline congestion syndrome and its treatment with aspirin
- First sonographic tissue perfusion measurement in renal transplants
- First sonographic bowel wall perfusion measurement in Crohn disease
- First sonographic renal tissue perfuison measurement
- First sonographic measurement of renal perfusion loss in diabetes mellitus
- PixelFlux measurements of renal tissue perfusion
- Why I prefer not to publish in journals but in the Internet
- Vessel stretching in nephroptosis – an important driver of complaints
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Detection of a new compression syndrome : Bilateral compression of the internal iliac vein between the psoas muscle and the internal iliac artery in a patient with chronic penile pain
Chronic penile pain may have multiple causes, the most frequent one being an irritation of the pudendal nerve.
I report here for the first time on the finding of a bilateral compression of the internal iliac vein between the psoas muscle and the internal iliac artery.
A detailed search for this condition in
google scholar
and pubmed
did not reveal any results.
The patient reported on a gradually increasing pain over the last 15 years starting at the lower poles of both testicles and the glans of the penis gradually spreading across the entire external genitals. The pain was of a more congestive nature and thus described as dull and had only less prominent neuropathic qualities described as burning and stinging.
The pain increased while the trunk was an upright posture and could be relieved by lying down.
The mechanism provoking the pain in the external genitals is seen in the congestion of the internal pudendal vein with a painful distension of the genitals veins and a mechanical irritation of the pudendal nerve within the Alcock canal by the engorged internal pudendal vein.
Similar pulsatile venous flow patterns are found in the left renal vein and the left common iliac vein at the May-Thurner-point
