Pelvic congestion syndrome.

Area of Science:

• Vascular Surgery
• Interventional Radiology

Background:

• Pelvic congestion syndrome (PCS) etiology is multifactorial, involving mechanical, hormonal, and psychological factors.
• The exact causes of PCS are not fully understood, necessitating effective treatment strategies.

Observation:

• Minimally invasive embolisation or sclerotherapy of ovarian veins is a primary treatment for PCS.
• These procedures are often performed concurrently with diagnostic venography.

Findings:

• Technical success rates for embolisation/sclerotherapy range from 89% to 100%.
• Clinical success rates reported are between 58% and 100%.
• These interventions demonstrate superior long-term pain relief compared to medical therapies.

Implications:

• Embolisation and sclerotherapy are effective day-surgery options for PCS management.
• Minimally invasive venous procedures offer a promising alternative for chronic pelvic pain relief.