Embolization to treat pelvic congestion syndrome and vulval varicose veins.
SourceInternational Journal of Gynecology & Obstetrics, 118, 3, (2012), pp. 227-30
01 september 2012
Article / Letter to editor
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International Journal of Gynecology & Obstetrics
SubjectN4i 4: Auto-immunity, transplantation and immunotherapy; NCEBP 11: Alzheimer Centre; NCEBP 14: Cardiovascular diseases ONCOL 5: Aetiology, screening and detection
OBJECTIVE: To evaluate the efficacy of embolization for treating the symptoms of pelvic congestion syndrome (PCS). METHODS: Twenty-one women with PCS who were treated with embolization at Radboud University Nijmegen Medical Centre between 2003 and 2008 were sent a questionnaire about their symptoms before embolization, 2months after the first embolization, and at the time the survey was conducted. RESULTS: All patients completed the questionnaire. Two months after the first embolization, 14 (66.7%) women had some degree of improvement of symptoms. Nine (42.9%) patients underwent a second embolization. At the time the survey was conducted, 16 (76.2%) patients had some degree of improvement of symptoms. In addition to improvements in varicose veins and pelvic pain, there was improvement of hemorrhoids. CONCLUSION: Embolization of pelvic varicosities may be an effective treatment in a well-selected group of patients with PCS. If there is no improvement of symptoms after initial embolization, a second procedure is unlikely to be effective.
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