The Outcome of Pelvic Vein Endo-Embolization in Pelvic Congestion Syndrome Patients with Synchronous Lower Limb Varicose Veins...

Mahmoud, Ashraf; Elnagger, Ahmed Abd El-Rahman; Essawy, Ayman Mahmoud; Abuzaid, Amr Abd El-Rahim; Hussein, Sherif Mohammed

doi:10.21608/fumj.2025.359887.1458

The Outcome of Pelvic Vein Endo-Embolization in Pelvic Congestion Syndrome Patients with Synchronous Lower Limb Varicose Veins...

Document Type : Review Articles

Authors

¹ General Surgery Department, Faculty of Medicine, Fayoum University

² Lecturer of General Surgery Faculty of medicine, Fayoum University

³ Prof. of General Surgery Faculty of medicine, Fayoum University

⁴ Prof. of vascular Surgery Faculty of medicine, Cairo University

⁵ Lecturer of Vascular Surgery Faculty of Medicine, Cairo University

10.21608/fumj.2025.359887.1458

Abstract

Introduction: Pelvic congestion syndrome (PCS) is a chronic condition characterized by pelvic pain associated with pelvic vein insufficiency, often coexisting with lower limb varicose veins (LLVV). Pelvic vein endo-embolization has emerged as a minimally invasive treatment for PCS, but its outcomes in patients with synchronous LLVV remain underexplored.
Aim of the study: This study aims to evaluate the outcomes of PVE in PCS patients with synchronous lower limb varicose veins, focusing on clinical improvements in pelvic pain, and overall quality of life.
Subjects and Methods: A systematic review and meta-analysis were conducted following PRISMA guidelines. Databases including PubMed, Scopus, and Cochrane Library were searched up to December 2024. Studies evaluating the outcomes of pelvic vein endo-embolization in PCS patients with synchronous LLVV were included.
Results: Systematic review of 6 studies, including 2975 patients, was conducted to evaluate the outcomes of pelvic vein endo-embolization in treating pelvic congestion syndrome (PCS) among patients with concurrent lower limb varicose veins. The review defined clinical remission as the absence of pelvic pain or significant symptom improvement post-procedure. Recurrence was categorized as frequent if symptoms reappeared within 6 months after treatment or persisted despite intervention, and as infrequent if recurrence occurred beyond 6 months or was minimal.
Conclusions: Pelvic vein endo-embolization is a highly effective treatment for PCS with synchronous LLVV, providing significant symptom relief and resolution of varicose veins in most patients.

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