Clinical outcome of ovarian vein embolization in pelvic congestion syndrome

Introduction: Pelvic congestion syndrome (PCS), is a condition associated with ovarian vein (OV) incompetence among other causes. It is manifested by chronic pelvic pain with associated dyspareunia and dysmenorrhea. The diagnosis of PCS is often overlooked and the management can be difficult. Tradit...

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Main Author: Hassan Abdelsalam
Format: Article
Language:English
Published: Taylor & Francis Group 2017-03-01
Series:Alexandria Journal of Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2090506816000075
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author Hassan Abdelsalam
author_facet Hassan Abdelsalam
author_sort Hassan Abdelsalam
collection DOAJ
description Introduction: Pelvic congestion syndrome (PCS), is a condition associated with ovarian vein (OV) incompetence among other causes. It is manifested by chronic pelvic pain with associated dyspareunia and dysmenorrhea. The diagnosis of PCS is often overlooked and the management can be difficult. Traditional therapy for PCS has included both medical and surgical approaches and more recently endovascular therapy. The aim of this work: The aim of this work was to assess the clinical efficacy of ovarian vein embolization in treatment of PCS associated with OV incompetence and in the management of pelvic varices via catheter directed coil embolization. Conclusion: From our and previous results, we can conclude that catheter directed OV coil embolization is a feasible procedure for treatment of pelvic congestion syndrome associated with OV incompetence. Presence of bilateral OV incompetence should always be investigated prior this therapy. Further prospective trials are required to assess the full benefits and efficacy of this technique, and to assess which may be the best embolic agent.
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spelling doaj.art-819fb3e6697f440da6681b9b9005da372022-12-21T19:47:53ZengTaylor & Francis GroupAlexandria Journal of Medicine2090-50682017-03-01531152010.1016/j.ajme.2016.01.006Clinical outcome of ovarian vein embolization in pelvic congestion syndromeHassan AbdelsalamIntroduction: Pelvic congestion syndrome (PCS), is a condition associated with ovarian vein (OV) incompetence among other causes. It is manifested by chronic pelvic pain with associated dyspareunia and dysmenorrhea. The diagnosis of PCS is often overlooked and the management can be difficult. Traditional therapy for PCS has included both medical and surgical approaches and more recently endovascular therapy. The aim of this work: The aim of this work was to assess the clinical efficacy of ovarian vein embolization in treatment of PCS associated with OV incompetence and in the management of pelvic varices via catheter directed coil embolization. Conclusion: From our and previous results, we can conclude that catheter directed OV coil embolization is a feasible procedure for treatment of pelvic congestion syndrome associated with OV incompetence. Presence of bilateral OV incompetence should always be investigated prior this therapy. Further prospective trials are required to assess the full benefits and efficacy of this technique, and to assess which may be the best embolic agent.http://www.sciencedirect.com/science/article/pii/S2090506816000075Pelvic congestionOvarian veinEmbolization
spellingShingle Hassan Abdelsalam
Clinical outcome of ovarian vein embolization in pelvic congestion syndrome
Alexandria Journal of Medicine
Pelvic congestion
Ovarian vein
Embolization
title Clinical outcome of ovarian vein embolization in pelvic congestion syndrome
title_full Clinical outcome of ovarian vein embolization in pelvic congestion syndrome
title_fullStr Clinical outcome of ovarian vein embolization in pelvic congestion syndrome
title_full_unstemmed Clinical outcome of ovarian vein embolization in pelvic congestion syndrome
title_short Clinical outcome of ovarian vein embolization in pelvic congestion syndrome
title_sort clinical outcome of ovarian vein embolization in pelvic congestion syndrome
topic Pelvic congestion
Ovarian vein
Embolization
url http://www.sciencedirect.com/science/article/pii/S2090506816000075
work_keys_str_mv AT hassanabdelsalam clinicaloutcomeofovarianveinembolizationinpelviccongestionsyndrome