Diagnosis and treatment of pelvic congestion syndrome: Single-centre experiences
| Autor: | Jacek Kurcz, Piotr Szyber, Andrzej T. Dorobisz, Jan Skóra, Przemysław Podgórski, Jerzy Garcarek, Tadeusz Dorobisz, Krzysztof Korta |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Medicine (miscellaneous) Embolization procedure 030204 cardiovascular system & hematology Pelvic Pain General Biochemistry Genetics and Molecular Biology Pelvis Varicose Veins 03 medical and health sciences 0302 clinical medicine Hemorrhoids Internal Medicine medicine Humans Pharmacology (medical) Embolization Genetics (clinical) Pain Measurement Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Pelvic pain Ovary Chronic pain Phlebography Syndrome medicine.disease Pelvic congestion syndrome Embolization Therapeutic Surgery Treatment Outcome Reviews and References (medical) Female medicine.symptom Chronic Pain business Varices Ovarian vein |
| Zdroj: | Advances in clinical and experimental medicine : official organ Wroclaw Medical University. 26(2) |
| ISSN: | 1899-5276 |
| Popis: | Background One of the underestimated causes of chronic pelvic pain (CPP) in women may be pelvic congestion syndrome (PCS) that is defined as the presence of varicose of ovarian and pelvic veins associated with chronic pain in the region of the pelvis. This pain is present longer than 6 months and intensifies with prolonged standing, coitus and menstruation. The disease constitutes a diagnostic as well as therapeutic problem, thus posing a challenge for the clinician. Transcatheter ovarian vein embolization might be a safe and effective option for PCS treatment. Objectives The objective of this study was to evaluate the efficacy of ovarian vein embolization ovarian as a method of the PCS treatment. Material and methods Between 2002-2012, 11 embolization procedures were performed in 10 women (age range: 34-43; median age 39) with the diagnosis of PCS. One patient underwent embolization procedure twice. In 1 case the combined therapy of endovascular embolization and surgical phlebectomy of vulvar varices was performed. Results There were no major intrainterventional complications. In all the patients (100%) a significant improvement in the clinical status was noted. The procedure improved the quality of life in the patients. Three women (30%) had a mild recurrence of the symptoms at mid-term follow-up. Among 8 women who had complained of dyspareunia prior to embolization 6 patients reported complete pain relief, in other 2 cases the pain subsided partially. There was a significant decrease in the severity of symptoms associated with hemorrhoids. Conclusions We consider embolization of insufficient ovarian veins an effective and safe way of treatment in a well-selected group of patients with PCS. |
| Databáze: | OpenAIRE |
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