Diagnosis and treatment of pelvic congestion syndrome: Single-centre experiences.
Adv Clin Exp Med
; 26(2): 269-276, 2017.
Article
en En
| MEDLINE
| ID: mdl-28791845
ABSTRACT
BACKGROUND:
One of the underestimated causes of chronic pelvic pain (CPP) in women may be pelvic congestion syndrome (PCS) that is defined as the presence of varicose of ovarian and pelvic veins associated with chronic pain in the region of the pelvis. This pain is present longer than 6 months and intensifies with prolonged standing, coitus and menstruation. The disease constitutes a diagnostic as well as therapeutic problem, thus posing a challenge for the clinician. Transcatheter ovarian vein embolization might be a safe and effective option for PCS treatment.OBJECTIVES:
The objective of this study was to evaluate the efficacy of ovarian vein embolization ovarian as a method of the PCS treatment. MATERIAL ANDMETHODS:
Between 2002-2012, 11 embolization procedures were performed in 10 women (age range 34-43; median age 39) with the diagnosis of PCS. One patient underwent embolization procedure twice. In 1 case the combined therapy of endovascular embolization and surgical phlebectomy of vulvar varices was performed.RESULTS:
There were no major intrainterventional complications. In all the patients (100%) a significant improvement in the clinical status was noted. The procedure improved the quality of life in the patients. Three women (30%) had a mild recurrence of the symptoms at mid-term follow-up. Among 8 women who had complained of dyspareunia prior to embolization 6 patients reported complete pain relief, in other 2 cases the pain subsided partially. There was a significant decrease in the severity of symptoms associated with hemorrhoids.CONCLUSIONS:
We consider embolization of insufficient ovarian veins an effective and safe way of treatment in a well-selected group of patients with PCS.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Ovario
/
Pelvis
/
Várices
/
Embolización Terapéutica
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Aspecto:
Patient_preference
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Adv Clin Exp Med
Año:
2017
Tipo del documento:
Article
País de afiliación:
Polonia
Pais de publicación:
PL
/
POLAND
/
POLONIA
/
POLÔNIA