title: Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome.
abstract: 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.
  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.
  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.
  Periuterine varices embolization in patients with chronic pelvic pain secondary to pelvic congestion syndrome appears to be an effective and safe technique.
authors.affiliation: Departamento de Medicina Interna, Divisão de Radiologia Intervencionista, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo.
authors.forename: Flavio Meirelles
authors.initials: FM
authors.lastname: Siqueira
authors.affiliation: Departamento de Medicina Interna, Divisão de Radiologia Intervencionista, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo.
authors.forename: Lucas Moretti
authors.initials: LM
authors.lastname: Monsignore
authors.affiliation: Departamento de Ginecologia e Obstetricia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo.
authors.forename: Julio Cesar
authors.initials: JC
authors.lastname: Rosa-E-Silva
authors.affiliation: Departamento de Ginecologia e Obstetricia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo.
authors.forename: Omero Benedicto
authors.initials: OB
authors.lastname: Poli-Neto
authors.affiliation: Departamento de Medicina Interna, Divisão de Radiologia Intervencionista, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo.
authors.forename: Luis Henrique de
authors.initials: LH
authors.lastname: Castro-Afonso
authors.affiliation: Departamento de Medicina Interna, Divisão de Radiologia Intervencionista, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo.
authors.forename: Guilherme Seizem
authors.initials: GS
authors.lastname: Nakiri
authors.affiliation: Departamento de Medicina Interna, Divisão de Radiologia, Ribeirão Preto/SP, Universidade de São Paulo, Departamento de Medicina Interna Divisão de Radiologia, Ribeirão Preto/SP, Universidade de São Paulo, Brazil.
authors.forename: Valdair Francisco
authors.initials: VF
authors.lastname: Muglia
authors.affiliation: Departamento de Medicina Interna, Divisão de Radiologia Intervencionista, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo.
authors.forename: Daniel Giansante
authors.initials: DG
authors.lastname: Abud
mesh_terms: D000328:Adult; D001938:Brazil; D059350:Chronic Pain / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D010053:Ovary / Q000098:blood supply / Q000000981:diagnostic imaging; D010147:Pain Measurement; D017699:Pelvic Pain / Q000209:etiology / Q000628:therapy*; D010388:Pelvis / Q000098:blood supply; D010690:Phlebography; D015203:Reproducibility of Results; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D013577:Syndrome; D016896:Treatment Outcome; D055357:Uterine Artery Embolization / Q000379:methods*; D014591:Uterine Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D014599:Uterus / Q000098:blood supply*; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000628:therapy*