Chronic pelvic pain that worsens after standing all day or during menstrual cycles is not something you should accept as normal. When imaging reveals dilated ovarian or pelvic veins, embolization offers a direct path to relief.
Soris Pain & Vascular Institute performs pelvic congestion syndrome embolization in an outpatient setting. This minimally invasive procedure blocks the refluxing veins responsible for your pelvic pain, and you go home the same day.
Soris Pain & Vascular Institute
Pelvic congestion syndrome embolization is a catheter-based procedure that occludes incompetent ovarian and pelvic veins to eliminate venous reflux and reduce chronic pelvic pressure. The dilated veins function like varicose veins of the pelvis, pooling blood and causing a persistent, heavy ache.
Our physicians access the venous system through a small puncture in the neck or groin. A microcatheter is guided under fluoroscopy to the refluxing ovarian veins. Embolic coils and sclerosant agents seal the target vessels permanently.
The procedure redirects blood flow through healthy pelvic veins. Soris Pain & Vascular Institute uses this approach to relieve Pelvic Congestion Syndrome without open surgery or general anesthesia.
Procedure
The clinical team at Soris Pain & Vascular Institute reviews your pelvic ultrasound or venogram results during a consultation at our outpatient facilities.
Our physicians confirm the diagnosis of venous reflux and identify the target veins.
You receive local anesthesia, with mild sedation available if needed. The physician advances the microcatheter to the ovarian or internal iliac veins under live fluoroscopic imaging.
Embolic coils and a sclerosant agent are deployed to seal the incompetent veins. The procedure typically takes 60 to 90 minutes.
Patients return home the same day. Mild pelvic cramping may occur for 24 to 48 hours and is managed with over-the-counter pain medication.
Soris Pain & Vascular Institute schedules a follow-up within two to four weeks. Symptom improvement develops progressively as blood reroutes through healthy venous pathways.
Benefits
Pain medications and hormonal therapy manage symptoms. Pelvic congestion embolization at Soris Pain & Vascular Institute seals the refluxing veins that cause the pain, addressing the structural problem.
A single catheter puncture replaces open pelvic surgery. There are no incisions, no stitches, and no hospital admission. Recovery time is measured in days, not weeks.
The embolization takes place in our interventional suite. You go home the same day and resume normal activities within a few days.
Conditions Treated with Pelvic Congestion Embolization
Women with chronic pelvic pain lasting six months or longer, worsened by prolonged standing and associated with dilated pelvic veins on imaging, are candidates for this procedure.
Incompetent ovarian veins that allow backward blood flow into the pelvis are a primary target. The embolization coils seal these veins at their origin.
Collaboration
Our physicians perform pelvic congestion syndrome embolization at Soris Pain & Vascular Institute. Each maintains privileges at affiliated hospitals.
The care team provides patient education, pre-procedure preparation, and post-procedure follow-up at our clinics.
FAQ
Most patients return to normal daily activities within three to five days. Soris Pain & Vascular Institute recommends avoiding strenuous exercise for one to two weeks.
No. The body naturally reroutes blood through healthy pelvic veins. The sealed vessels are reabsorbed over time.
Coverage depends on your specific plan and documentation of prior conservative treatment. Our office staff verifies benefits before scheduling.
Clinical studies report symptom improvement in approximately 80 percent of patients. The physicians at Soris Pain & Vascular Institute evaluate your specific anatomy during the consultation to discuss expected outcomes.
Reference: Laborda A, Medrano J, de Blas I, et al. Endovascular treatment of pelvic congestion syndrome: visual analog scale (VAS) long-term follow-up clinical evaluation in 202 patients. Cardiovasc Intervent Radiol. 2013;36(4):1006-14.
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