Portal de Periódicos da CAPES

Artigo Acesso aberto Produção Nacional Revisado por pares

BIBTEX RIS

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

2016; Elsevier BV; Volume: 71; Issue: 12 Linguagem: Inglês

10.6061/clinics/2016(12)05

1980-5322

Flavio Meirelles de Siqueira, Lucas Moretti Monsignore, Júlio César Rosa e Silva, Omero Benedicto Poli‐Neto, Luís Henrique de Castro-Afonso, Guilherme Seizem Nakiri, Valdair Francisco Muglia, Daniel Giansante Abud,

Pelvic floor disorders treatments

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.