Embolization of Pelvic Varicosities in Patients With Pelvic Congestion Syndrome

Embolization of Pelvic Varicosities in Patients With Pelvic Congestion Syndrome

Results of recent systematic reviews suggest favorable results of embolization for the treatment of Pelvic Congestion Syndrome (PCS) compared with pre-procedure symptoms for several outcomes, including pain reduction, overall patient satisfaction, and technical feasibility. Reported complication rates appears relatively low.

Pelvic vein embolization is a relatively new technology and the results may provide background for an evidence based decision to offer embolization of pelvic varicosities for women with PCS in Norway.

Inclusion Criteria:

• Pelvic pain (lasting for more than 6 months)
• Symptoms of PCS - deterioration of pain when standing and improvement in supine position (with or without dyspareunia or dysmenorrhea).
• Confirmed pelvic varicosities by magnetic resonance examination.
• Signed, written and informed consent

Exclusion Criteria:

• Inability to communicate in Norwegian
• Known endometriosis
• Uterine myoma, uterine anomalies, or cancer
• Postmenopausal
• not having been pregnant