Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome
Clinics
;
71(12): 703-708, Dec. 2016. tab, graf
Article
in English
| LILACS
| ID: biblio-840023
ABSTRACT
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.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Uterine Diseases
/
Uterus
/
Varicose Veins
/
Pelvic Pain
/
Uterine Artery Embolization
Type of study:
Etiology study
/
Evaluation studies
/
Observational study
Limits:
Adult
/
Female
/
Humans
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Clinics
Journal subject:
Medicine
Year:
2016
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR
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