What are the treatment options for pelvic congestion syndrome?

I think I may have PCS. What are the best treatment options for this?

Answers from doctors (4)


Venography is used to diagnose- usually sclerotherapy under fluoroscopy is used to treat.

Answered by HeartCare Associates Vein Center (View Profile)

Venography is used to diagnose- usually sclerotherapy under fluoroscopy is used to treat.

Published on Jul 11, 2012


Hratch Karamanoukian, MD, FACS, RVT, RPVI, RPhS

Published on Aug 07, 2017

The surgical or laparoscopic approaches are less favored. The least invasive option, if you are a candidate, may be the best: coiling of refluxing ovarian veins.

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Answered by Hratch Karamanoukian, MD, FACS, RVT, RPVI, RPhS

The surgical or laparoscopic approaches are less favored. The least invasive option, if you are a candidate, may be the best: coiling of refluxing ovarian veins.

Published on Jul 11, 2012


Miller Vein

Published on Dec 06, 2010

I think the most important issue is to make the correct diagnosis. A special type of MRI may need to be done. If you do have PCS, a procedure called embolization may be the least invasive and best option. For more information, I recommend visiting the Society of Interventional Radiology website.

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Answered by Miller Vein

I think the most important issue is to make the correct diagnosis. A special type of MRI may need to be done. If you do have PCS, a procedure called embolization may be the least invasive and best option. For more information, I recommend visiting the Society of Interventional Radiology website.

Published on Jul 11, 2012


VeinCare Centers of Tennessee

Published on Dec 01, 2009

The treatment for pelvic congestion syndrome is highly individualized and must be planned with detailed information from the clinical history and examination, color duplex imaging of the abdominal and pelvic veins, and CT or MRI of the abdominal and pelvic veins. Finally, venograms (X-ray imaging of veins after injection of an X-ray contrast agent into the veins) and intravascular ultrasound (ultrasound imaging of the veins by means of a small tube inside the veins) often provide critical information to make decisions regarding treatment.

Treatment may involve closing veins of the pelvis by injecting a foam sclerosant or a small metal coil to cause the veins to seal shut. This usually is done by a needle stick technique to introduce a catheter through the femoral vein at the groin or by the jugular vein in the neck. Sometimes a narrowing of the iliac vein in the pelvis is a factor in pelvic venous
congestion and this is treated by balloon angioplasty and stenting. Sometimes, injection of a foam sclerosant directly into varicose veins of the groin or near the external genitalia with ultrasound or X-ray guidance is adequate for treatment.

Seek a physician with significant experience managing pelvic venous congestion.

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Answered by VeinCare Centers of Tennessee

The treatment for pelvic congestion syndrome is highly individualized and must be planned with detailed information from the clinical history and examination, color duplex imaging of the abdominal and pelvic veins, and CT or MRI of the abdominal and pelvic veins. Finally, venograms (X-ray imaging of veins after injection of an X-ray contrast agent into the veins) and intravascular ultrasound (ultrasound imaging of the veins by means of a small tube inside the veins) often provide critical information to make decisions regarding treatment.

Treatment may involve closing veins of the pelvis by injecting a foam sclerosant or a small metal coil to cause the veins to seal shut. This usually is done by a needle stick technique to introduce a catheter through the femoral vein at the groin or by the jugular vein in the neck. Sometimes a narrowing of the iliac vein in the pelvis is a factor in pelvic venous
congestion and this is treated by balloon angioplasty and stenting. Sometimes, injection of a foam sclerosant directly into varicose veins of the groin or near the external genitalia with ultrasound or X-ray guidance is adequate for treatment.

Seek a physician with significant experience managing pelvic venous congestion.

Published on Jul 11, 2012


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