Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome

Authors

  • Flavio Meirelles Siqueira Universidade de São Paulo; Faculdade de Medicina de Ribeirão Preto; Hospital das Clínicas
  • Lucas Moretti Monsignore Universidade de São Paulo; Faculdade de Medicina de Ribeirão Preto; Hospital das Clínicas
  • Julio Cesar Rosa-e-Silva Universidade de São Paulo; Faculdade de Medicina de Ribeirão Preto; Hospital das Clínicas
  • Omero Benedicto Poli-Neto Universidade de São Paulo; Faculdade de Medicina de Ribeirão Preto; Hospital das Clínicas
  • Luis Henrique de Castro-Afonso Universidade de São Paulo; Faculdade de Medicina de Ribeirão Preto; Hospital das Clínicas
  • Guilherme Seizem Nakiri Universidade de São Paulo; Faculdade de Medicina de Ribeirão Preto; Hospital das Clínicas
  • Valdair Francisco Muglia Universidade de São Paulo; Departamento de Medicina Interna
  • Daniel Giansante Abud Universidade de São Paulo; Faculdade de Medicina de Ribeirão Preto; Hospital das Clínicas

DOI:

https://doi.org/10.6061/clinics/2016(12)05

Abstract

OBJECTIVES: To evaluate the clinical response and success rate after periuterine varices embolization in patients with chronic pelvic pain secondary to pelvic congestion syndrome and to report the safety of endovascular treatment and its rate of complications. METHODS: Retrospective cohort of patients undergoing endovascular treatment of pelvic congestion syndrome in our department from January 2012 to November 2015. Data were analyzed based on patient background, imaging findings, embolized veins, rate of complications, and clinical response as indicated by the visual analog pain scale. RESULTS: We performed periuterine varices embolization in 22 patients during the study, four of which required a second embolization. Seventeen patients reported a reduction in pelvic pain after the first embolization and three patients reported a reduction in pelvic pain after the second embolization. Minor complications were observed in our patients, such as postural hypotension, postoperative pain, and venous perforation during the procedure, without clinical repercussion. CONCLUSION: Periuterine varices embolization in patients with chronic pelvic pain secondary to pelvic congestion syndrome appears to be an effective and safe technique.

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Published

2016-12-01

Issue

Section

Clinical Sciences

How to Cite

Siqueira, F. M., Monsignore, L. M., Rosa-e-Silva, J. C., Poli-Neto, O. B., Castro-Afonso, L. H. de, Nakiri, G. S., Muglia, V. F., & Abud, D. G. (2016). Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome . Clinics, 71(12), 703-708. https://doi.org/10.6061/clinics/2016(12)05