Chronic Pelvic Pain in Congestion Pelvic Syndrome: Clinical Impact and Electromyography Pelvic Floor Activity Prior to and after Endovascular Treatment.

Autor:	Corvino F; Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University Hospital 'Paolo Giaccone', 90127 Palermo, Italy.; Interventional Radiology Department, A.O.R.N. 'A. Cardarelli', 80131 Naples, Italy., Giurazza F; Interventional Radiology Department, A.O.R.N. 'A. Cardarelli', 80131 Naples, Italy., Coppola M; Interventional Radiology Department, A.O.R.N. 'A. Cardarelli', 80131 Naples, Italy., Tomasello A; Emergency and Acceptance Department, Anesthesia, Emergency and Burn Intensive Care Unit, A.O.R.N. 'A. Cardarelli', 80131 Naples, Italy., Coletta F; Emergency and Acceptance Department, Anesthesia, Emergency and Burn Intensive Care Unit, A.O.R.N. 'A. Cardarelli', 80131 Naples, Italy., Sala C; Emergency and Acceptance Department, Anesthesia, Emergency and Burn Intensive Care Unit, A.O.R.N. 'A. Cardarelli', 80131 Naples, Italy., Villani R; Emergency and Acceptance Department, Anesthesia, Emergency and Burn Intensive Care Unit, A.O.R.N. 'A. Cardarelli', 80131 Naples, Italy., de Martino BM; Clinical Neurophysiology Unit, A.O.R.N. 'A. Cardarelli', 80131 Naples, Italy., Corvino A; Medical, Movement and Wellbeing Sciences Department, University of Naples 'Parthenope', 80133 Naples, Italy., Niola R; Interventional Radiology Department, A.O.R.N. 'A. Cardarelli', 80131 Naples, Italy.
Jazyk:	angličtina
Zdroj:	Journal of personalized medicine [J Pers Med] 2024 Jun 20; Vol. 14 (6). Date of Electronic Publication: 2024 Jun 20.
DOI:	10.3390/jpm14060661
Abstrakt:	Background: This study aims to characterize the clinical impact of endovascular treatment in Chronic Pelvic Pain (CPP) patients due to Pelvic Congestion Syndrome (PCS) and to assess the diagnostic value of surface electromyography (sEMG) studies of pelvic floor musculature (PFM) in PCS patients pre- and post-endovascular treatment. Between January 2019 and July 2023, we studied consecutive patients who were referred for interventional radiology assessment and treatment to a tertiary trauma care hospital, had evidence of non-obstructive PCS from Magnetic Resonance Imaging (MRI), had sEMG of PFM and who had undergone endovascular treatment. The primary outcome was clinical, defined as a change in symptom severity after endovascular treatment. The secondary outcome was a difference in the sEMG values pre- and post-endovascular therapy. Results: We included 32 women (mean age 38 years). CPP was the leading symptom in 100% patients, followed by dysmenorrhea (75%) and post-coital pain (68.7%). Endovascular therapy included ovarian vein embolization in 28 patients (87.5%) and internal iliac vein embolization in only 2 patients (6.2%). After a median of 8 (range 6-10) months from endovascular treatment, 29 (90%) of patients reported an improvement of the main symptoms, and 15 (46%) were symptom-free. The sEMG values did not show a statistical difference pre- and post-PCS endovascular treatment. Conclusions: Endovascular treatment appeared to be highly effective in CPP due to PCS and was associated with a low rate of complication. sEMG study could be useful in revealing alterations of PFM electrophysiology, but a difference pre- and post-embolization in PCS patients was not demonstrated.
Databáze:	MEDLINE
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