What treatments are available for pelvic congestion syndrome?

I was wondering what treatments were available for PCS. Pros? Cons?

Answers from doctors (1)


VeinCare Centers of Tennessee

Published on Jan 10, 2012

When pelvic congestion syndrome is caused by reflux in an ovarian vein due to valve failure, occlusion of the ovarian vein by placing platinum coils in the veins and/or foam sclerotherapy usually is very effective in treaating the symptoms. Often, foam sclerotherapy of some of the associated pelvic varicose veins is done as well. Sometimes, it also is helpful to occlude the internal iliac veins if they reflux into large pelvic varicose veins.
Some patients with PCS symptoms have a narrowing of the iliac vein due to compression from the overlying iliac artery and stenting of the iliac vein will solve the problem.
It is very important to see a vascular surgeon or interventional radiologist who is experienced in dealing with PCS and iliac vein obstruction to assess individual patient needs.
Stephen F. Daugherty, MD, FACS, RVT, RPhS

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Answered by VeinCare Centers of Tennessee

When pelvic congestion syndrome is caused by reflux in an ovarian vein due to valve failure, occlusion of the ovarian vein by placing platinum coils in the veins and/or foam sclerotherapy usually is very effective in treaating the symptoms. Often, foam sclerotherapy of some of the associated pelvic varicose veins is done as well. Sometimes, it also is helpful to occlude the internal iliac veins if they reflux into large pelvic varicose veins.
Some patients with PCS symptoms have a narrowing of the iliac vein due to compression from the overlying iliac artery and stenting of the iliac vein will solve the problem.
It is very important to see a vascular surgeon or interventional radiologist who is experienced in dealing with PCS and iliac vein obstruction to assess individual patient needs.
Stephen F. Daugherty, MD, FACS, RVT, RPhS

Published on Jul 11, 2012


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