Document Detail


Initial experience with ovarian vein embolization for the treatment of chronic pelvic pain syndrome.
MedLine Citation:
PMID:  14689749     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Ovarian vein embolization was recently suggested as the preferred treatment for chronic pelvic pain syndrome. OBJECTIVE: To evaluate the technical feasibility, complications and early clinical and radiographic results of ovarian vein embolization in women with pelvic pain syndrome. METHODS: Percutaneous transcatheter ovarian vein embolization with coils was performed in six patients aged 27-53 years who presented with pelvic pain syndrome. All had lower abdominal pain, and pelvic varicosities were found on Doppler ultrasound and retrograde ovarian vein venography. Embolization was done unilaterally in three patients (on the left side) and bilaterally in three. Mean follow-up by telephone questionnaire was 7.3 months. RESULTS: The procedure was technically successful in all patients. Two patients reported partial relief of symptoms (33.3%) and three had complete relief (50%), for a total of 5 patients (83.3%) with some measure of improvement. There were no complications following the procedure. CONCLUSIONS: Percutaneous transcatheter ovarian vein embolization seems to be safe and feasible for the treatment of pelvic pain syndrome. The procedure is performed on an outpatient basis and is well tolerated by patients.
Authors:
Gil Nissim Bachar; Alexander Belenky; Franklin Greif; Eli Atar; Yigal Gat; Maxim Itkin; Anthony Verstanding
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  The Israel Medical Association journal : IMAJ     Volume:  5     ISSN:  1565-1088     ISO Abbreviation:  Isr. Med. Assoc. J.     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-23     Completed Date:  2004-01-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100930740     Medline TA:  Isr Med Assoc J     Country:  Israel    
Other Details:
Languages:  eng     Pagination:  843-6     Citation Subset:  IM    
Affiliation:
Interventional Radiology Unit, Department of Radiology, Rabin Medical Center (Beilinson Campus), Petah Tiqva, Israel. drbachar@netvision.net.il
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MeSH Terms
Descriptor/Qualifier:
Adult
Chronic Disease
Embolization, Therapeutic / methods*
Female
Humans
Middle Aged
Ovary / blood supply
Pelvic Pain / radiography,  therapy*,  ultrasonography
Treatment Outcome
Comments/Corrections
Comment In:
Isr Med Assoc J. 2004 Feb;6(2):122; author reply 122-3   [PMID:  14986478 ]

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