Pelvic congestion syndrome (PCS) is a common cause of chronic pelvic pain in women and is associated with pelvic venous insufficiency. This prospective interventional study aims to evaluate the safety and clinical effectiveness of endovascular embolization in relieving symptoms and improving quality of life in women diagnosed with PCS
Pelvic congestion syndrome is characterized by chronic pelvic pain resulting from pelvic venous reflux and varicosities. Endovascular embolization has emerged as a minimally invasive treatment with promising clinical outcomes. This prospective interventional study will evaluate the efficacy and safety of endovascular embolization in female patients with clinically suspected and imaging-confirmed PCS. Patients will undergo clinical assessment, imaging evaluation, and endovascular treatment according to standard institutional protocols. Clinical outcomes will be assessed using pain scores and symptom improvement during follow-up, while procedural success, technical outcomes, and complications will also be recorded
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Transcatheter embolization of incompetent ovarian and/or pelvic veins using standard embolic materials according to institutional practice to treat pelvic congestion syndrome.
Interventional radiology unit, Sohag university hospital
Sohag, Sohag Governorate, Egypt
RECRUITINGImprovement in pelvic pain after endovascular embolization
Change in pelvic pain measured using the Visual Analog Scale (VAS, 0-10), comparing baseline with 6-month follow-up. Unit of Measure: VAS score (0-10)
Time frame: 6 months
Technical success of embolization
Percentage of patients with successful catheterization and complete embolization of all incompetent ovarian and/or pelvic veins during the procedure. Unit: Percentage of participants (%)
Time frame: during the procedure
Change in quality of life
Change in quality of life assessed using the Pelvic Venous Clinical Severity Score (PVCSS) or another predefined questionnaire at baseline and 6 months. Unit: Score
Time frame: 6 months
Procedure-related complications
Assessment of major and minor complications according to the Society of Interventional Radiology (SIR) classification.
Time frame: up to 30 days after the procedure
Quality of life improvement
Improvement in patient's quality of life following embolization
Time frame: 6 months
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