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Innovative Approach to Embolization of Pelvic Varices Using Endovaginal Guidance: Methodology and Early Outcomes
Eva Fourage-Jambon1,2, Rayann Soueidan1, Hamza Sawalha3
1Service d'Imagerie Médicale Adulte, Hopital Pellegrin, CHU de Bordeaux, F-33076 Bordeaux, France.
Journal of Personalized Medicine
|October 28, 2025
Summary
Endovaginal guidance offers a safe and effective method for embolizing perivaginal varices, significantly reducing pain and improving quality of life for women with persistent symptoms.
Area of Science:
- Interventional Radiology
- Vascular Surgery
- Gynecology
Background:
- Perivaginal varices can cause persistent localized symptoms like dyspareunia and postcoital pain.
- Previous endovascular embolization may fail to treat varices inaccessible by this approach.
Purpose of the Study:
- To evaluate the safety and efficacy of endovaginal guidance for embolizing perivaginal varices.
- To assess symptom relief in patients with persistent dyspareunia and postcoital pain.
Main Methods:
- Retrospective analysis of 10 women undergoing embolization with endovaginal guidance.
- Assessment of technical success, primary efficacy (VAS score <2, ≥50% decrease), and complications.
- Clinical and imaging follow-up at three months post-procedure.
Main Results:
- 100% technical success rate for endovaginal embolization.
- 90% primary efficacy, with significant reduction in dyspareunia and postcoital pain (median VAS from 7 to 0-1).
- No major complications reported; imaging confirmed reduced varicosities.
Conclusions:
- Endovaginal guidance is a rapid and effective technique for perivaginal varices embolization.
- This method offers a valuable treatment option for persistent symptoms, aligning with personalized medicine principles.
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