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Pelvic congestion syndrome
Author(s) -
Robertson Meiri,
McCuaig Ruth
Publication year - 2013
Publication title -
australasian journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
eISSN - 2205-0140
pISSN - 1836-6864
DOI - 10.1002/j.2205-0140.2013.tb00094.x
Subject(s) - medicine , sclerotherapy , venography , etiology , surgery , pelvic pain , thrombosis
Background : The precise aetiology of pelvic congestion syndrome (PCS) remains poorly understood but is believed to be multifactorial having mechanical, hormonal and psychological components. Materials and methods : Minimally invasive techniques of embolisation or sclerotherapy of the ovarian veins has become the mainstay of treatment for PCS. Studies report a technical success rates from 89–100% and clinical success rates of 58–100%. Conclusions : Embolisation and sclerotherapy can be done as a day surgery procedure concurrently with diagnostic venography and given current evidence provide better long term pain relief than medical therapy.