Cargando…
Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome
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 patien...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5175291/ https://www.ncbi.nlm.nih.gov/pubmed/28076514 http://dx.doi.org/10.6061/clinics/2016(12)05 |
_version_ | 1782484632893128704 |
---|---|
author | Siqueira, Flavio Meirelles Monsignore, Lucas Moretti Rosa-e-Silva, Julio Cesar Poli-Neto, Omero Benedicto de Castro-Afonso, Luis Henrique Nakiri, Guilherme Seizem Muglia, Valdair Francisco Abud, Daniel Giansante |
author_facet | Siqueira, Flavio Meirelles Monsignore, Lucas Moretti Rosa-e-Silva, Julio Cesar Poli-Neto, Omero Benedicto de Castro-Afonso, Luis Henrique Nakiri, Guilherme Seizem Muglia, Valdair Francisco Abud, Daniel Giansante |
author_sort | Siqueira, Flavio Meirelles |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5175291 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-51752912016-12-23 Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome Siqueira, Flavio Meirelles Monsignore, Lucas Moretti Rosa-e-Silva, Julio Cesar Poli-Neto, Omero Benedicto de Castro-Afonso, Luis Henrique Nakiri, Guilherme Seizem Muglia, Valdair Francisco Abud, Daniel Giansante Clinics (Sao Paulo) Clinical Science 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. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2016-12 2016-12 /pmc/articles/PMC5175291/ /pubmed/28076514 http://dx.doi.org/10.6061/clinics/2016(12)05 Text en Copyright © 2016 CLINICS http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited. |
spellingShingle | Clinical Science Siqueira, Flavio Meirelles Monsignore, Lucas Moretti Rosa-e-Silva, Julio Cesar Poli-Neto, Omero Benedicto de Castro-Afonso, Luis Henrique Nakiri, Guilherme Seizem Muglia, Valdair Francisco Abud, Daniel Giansante Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome |
title | Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome |
title_full | Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome |
title_fullStr | Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome |
title_full_unstemmed | Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome |
title_short | Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome |
title_sort | evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome |
topic | Clinical Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5175291/ https://www.ncbi.nlm.nih.gov/pubmed/28076514 http://dx.doi.org/10.6061/clinics/2016(12)05 |
work_keys_str_mv | AT siqueiraflaviomeirelles evaluationofembolizationforperiuterinevaricesinvolvingchronicpelvicpainsecondarytopelviccongestionsyndrome AT monsignorelucasmoretti evaluationofembolizationforperiuterinevaricesinvolvingchronicpelvicpainsecondarytopelviccongestionsyndrome AT rosaesilvajuliocesar evaluationofembolizationforperiuterinevaricesinvolvingchronicpelvicpainsecondarytopelviccongestionsyndrome AT polinetoomerobenedicto evaluationofembolizationforperiuterinevaricesinvolvingchronicpelvicpainsecondarytopelviccongestionsyndrome AT decastroafonsoluishenrique evaluationofembolizationforperiuterinevaricesinvolvingchronicpelvicpainsecondarytopelviccongestionsyndrome AT nakiriguilhermeseizem evaluationofembolizationforperiuterinevaricesinvolvingchronicpelvicpainsecondarytopelviccongestionsyndrome AT mugliavaldairfrancisco evaluationofembolizationforperiuterinevaricesinvolvingchronicpelvicpainsecondarytopelviccongestionsyndrome AT abuddanielgiansante evaluationofembolizationforperiuterinevaricesinvolvingchronicpelvicpainsecondarytopelviccongestionsyndrome |