Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome
AUTOR(ES)
Siqueira, Flavio Meirelles, Monsignore, Lucas Moretti, Rosa-e-Silva, Julio Cesar, Poli-Neto, Omero Benedicto, Castro-Afonso, Luis Henrique de, Nakiri, Guilherme Seizem, Muglia, Valdair Francisco, Abud, Daniel Giansante
FONTE
Clinics
DATA DE PUBLICAÇÃO
2016-12
RESUMO
OBJECTIVES: To evaluate the clinical response and success rate after periuterine varices embolization in patients with chronic pelvic pain secondary to pelvic congestion syndrome and to report the safety of endovascular treatment and its rate of complications. METHODS: Retrospective cohort of patients undergoing endovascular treatment of pelvic congestion syndrome in our department from January 2012 to November 2015. Data were analyzed based on patient background, imaging findings, embolized veins, rate of complications, and clinical response as indicated by the visual analog pain scale. RESULTS: We performed periuterine varices embolization in 22 patients during the study, four of which required a second embolization. Seventeen patients reported a reduction in pelvic pain after the first embolization and three patients reported a reduction in pelvic pain after the second embolization. Minor complications were observed in our patients, such as postural hypotension, postoperative pain, and venous perforation during the procedure, without clinical repercussion. CONCLUSION: Periuterine varices embolization in patients with chronic pelvic pain secondary to pelvic congestion syndrome appears to be an effective and safe technique.
Documentos Relacionados
- Pelvic congestion syndrome - treatment with pelvic varicose veins embolization
- Celecoxib reduces symptoms in men with difficult chronic pelvic pain syndrome (Category IIIA)
- Microscopic hematuria and pelvic congestion syndrome in a patient with cirrhosis
- Transcutaneous electrical nerve stimulation (TENS) in the symptomatic management of chronic prostatitis/chronic pelvic pain syndrome: a placebo-control randomized trial
- Predictive factors for pelvic magnetic resonance in response to arterial embolization of a uterine leiomyoma