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

Bibliographic Details
Main Author: Siqueira, Flavio Meirelles
Publication Date: 2016
Other Authors: Monsignore, Lucas Moretti, Rosa-e-Silva, Julio Cesar, Poli-Neto, Omero Benedicto, Castro-Afonso, Luis Henrique de, Nakiri, Guilherme Seizem, Muglia, Valdair Francisco, Abud, Daniel Giansante
Format: Article
Language: eng
Source: Clinics
Download full: https://www.revistas.usp.br/clinics/article/view/125373
Summary: 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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spelling 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 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, Faculdade de Medicina, Universidade de São Paulo2016-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/12537310.6061/clinics/2016(12)05Clinics; Vol. 71 No. 12 (2016); 703-708Clinics; v. 71 n. 12 (2016); 703-708Clinics; Vol. 71 Núm. 12 (2016); 703-7081980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/125373/122390Copyright (c) 2017 Clinicsinfo:eu-repo/semantics/openAccessSiqueira, Flavio MeirellesMonsignore, Lucas MorettiRosa-e-Silva, Julio CesarPoli-Neto, Omero BenedictoCastro-Afonso, Luis Henrique deNakiri, Guilherme SeizemMuglia, Valdair FranciscoAbud, Daniel Giansante2017-01-06T12:36:02Zoai:revistas.usp.br:article/125373Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2017-01-06T12:36:02Clinics - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv 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
spellingShingle Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome
Siqueira, Flavio Meirelles
title_short 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_sort Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome
author Siqueira, Flavio Meirelles
author_facet Siqueira, Flavio Meirelles
Monsignore, Lucas Moretti
Rosa-e-Silva, Julio Cesar
Poli-Neto, Omero Benedicto
Castro-Afonso, Luis Henrique de
Nakiri, Guilherme Seizem
Muglia, Valdair Francisco
Abud, Daniel Giansante
author_role author
author2 Monsignore, Lucas Moretti
Rosa-e-Silva, Julio Cesar
Poli-Neto, Omero Benedicto
Castro-Afonso, Luis Henrique de
Nakiri, Guilherme Seizem
Muglia, Valdair Francisco
Abud, Daniel Giansante
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Siqueira, Flavio Meirelles
Monsignore, Lucas Moretti
Rosa-e-Silva, Julio Cesar
Poli-Neto, Omero Benedicto
Castro-Afonso, Luis Henrique de
Nakiri, Guilherme Seizem
Muglia, Valdair Francisco
Abud, Daniel Giansante
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.
publishDate 2016
dc.date.none.fl_str_mv 2016-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/clinics/article/view/125373
10.6061/clinics/2016(12)05
url https://www.revistas.usp.br/clinics/article/view/125373
identifier_str_mv 10.6061/clinics/2016(12)05
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/clinics/article/view/125373/122390
dc.rights.driver.fl_str_mv Copyright (c) 2017 Clinics
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Clinics
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
dc.source.none.fl_str_mv Clinics; Vol. 71 No. 12 (2016); 703-708
Clinics; v. 71 n. 12 (2016); 703-708
Clinics; Vol. 71 Núm. 12 (2016); 703-708
1980-5322
1807-5932
reponame:Clinics
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Clinics
collection Clinics
repository.name.fl_str_mv Clinics - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||clinics@hc.fm.usp.br
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