Pelvic Congestion Syndrome (PCS) Embolization

Pelvic congestion syndrome (PCS) embolization, also known as ovarian vein embolization (OVE), is a minimally invasive radiological procedure that can treat pelvic congestion caused by faulty ovarian veins. It can provide significant relief from chronic pelvic pain and improve a patient's quality of life.

When is this procedure recommended? 

PCS embolization may be recommended for woman experience one or more of the following symptoms. 

with benign prostatic hyperplasia (BPH) who have urinary symptoms that aren't well controlled by medication. PAE can help with a variety of BPH issues, including:

  • Blood in the urine caused by an enlarged prostate
  • Inability to urinate
  • Weak urine stream, hesitancy, dribbling, and frequent need to urinate at night

How is the procedure performed?

An interventional radiology consult will be conducted to evaluate medical history and review prior imaging to determine if a patient is a candidate for embolization for the treatment of PCS. 

During the procedure, an interventional radiologist inserts a thin catheter into the femoral vein and guided to the enlarged pelvic veins using X-ray guidance. Tiny coils are placed in the enlarged pelvic veins, and a sclerosing agent is injected to seal the vein. Patients can typically resume normal daily activities immediately.

What are the benefits?

  • The procedure is considered very safe, with success rates ranging from 75% to 95%.
  • PCS embolization will renew blood flow will alleviate painful symptoms without risks of surgery.
  • The procedure can also improve the appearance of varicose veins.
  • Most women see improvement within two weeks of the procedure and can return to normal activities the next day.

 

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