Pelvic Congestion Syndrome: A Review of Current Diagnostic and Minimally Invasive Treatment Modalities

Darren Kies, H S Kim
In: Phlebology: The Journal of Venous Disease · 2012 · vol. 27(1_suppl) , pp. 52–57 · doi:10.1258/phleb.2012.012s27 · PMID:22312068 · W2029180419
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This review examines current diagnostic imaging, particularly contrast-enhanced MRI, and minimally invasive treatment, primarily transcatheter embolotherapy, for pelvic congestion syndrome, a cause of chronic pelvic pain from pelvic varices.

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Abstract

Chronic pelvic pain is a debilitating medical condition with a host of potential causes. Although often overlooked, pelvic congestion syndrome (PCS) is a well-established cause of chronic pelvic pain due to abnormal ovarian and pelvic varices. The diagnosis is established with modern non-invasive cross-sectional imaging, preferably contrast enhanced magnetic resonance imaging. Although medical and open surgical therapies exist, transcatheter percutaneous embolotherapy has been shown to be a safe, effective and durable therapy for the treatment of PCS. Further prospective randomized studies are needed to refine optimal technique and assess long-term patient outcomes.

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chronic_pelvic_pain

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