Treatment of pelvic congestion syndrome
The principle of treatment for pelvic congestion syndrome is finding which of the four veins in the pelvis have lost their valves and are allowing blood to “reflux” the wrong way down the veins causing the pelvic veins to dilate and, once identified, these veins to be permanently closed.
In the past, surgeons have tried to tie these veins off using open surgery. However open surgery for this causes far too much pain and far too long recovery, which along with the risks of open surgery which should be avoided.
Some surgeons have tried to “clip” these veins using laparoscopic or “keyhole” surgery.
The most effective treatments however have been performed by a process called “embolisation”. Under x-ray control, a radiologist can pass a very thin tube (called a catheter) into the veins usually from the neck (although some people still try to use the groin even that this is less effective). Once the catheter is positioned in the ovarian or internal iliac vein to be treated, an embolisation device is pushed out into the vein which causes the vein to permanently block.
At the current time, the best treatment is a metal coil, which coils up inside the vein blocking it and causing spasm. Other embolisation materials have been used such as foam sclerotherapy or other gels or glues. As research continues, it is likely that other embolisation materials will be found to be effective but at the present time, metal coils are the optimal devices.