{Reference Type}: Case Reports {Title}: Painful ejaculation in a patient with pelvic venous insufficiency. {Author}: Cifuentes S;Ulloa JH;Van Uden E;Figueroa V;Solano A;Montenegro AC;Cifuentes S;Ulloa JH;Van Uden E;Figueroa V;Solano A;Montenegro AC; {Journal}: J Vasc Surg Cases Innov Tech {Volume}: 8 {Issue}: 4 {Year}: Dec 2022 暂无{DOI}: 10.1016/j.jvscit.2022.07.014 {Abstract}: Pelvic venous insufficiency (PVI) is common in women but has been rarely diagnosed in men. The clinical manifestations include varicocele and pelvic disturbances; however, we were unable to find a previous description of painful ejaculation as a symptom of PVI. We present the case of a 36-year-old man with a 7-year history of severe sharp ejaculatory pain. PVI was suspected after previous treatment attempts. The diagnosis was confirmed by descending phlebography, and he underwent coil embolization of the pelvic vessels and phlebotonic therapy. At 6 months after treatment, he reported a 75% improvement in his condition. Therefore, painful ejaculation should be considered an uncommon manifestation of PVI.