What Is It?
Pelvic congestion syndrome (PCS) is a condition that occurs when veins in the pelvis become swollen and engorged. This can lead to symptoms such as pelvic pain, discomfort during intercourse, and heaviness in the pelvic region. In cases where conservative treatments like pain medication or hormonal therapy don’t provide relief, interventional radiology (IR) procedures may be considered.
How is the Procedure Performed?
One of the IR procedures used to address pelvic congestion syndrome is called pelvic venous embolization (or gonadal vein embolization). Under the guidance of imaging techniques such as fluoroscopy (real-time X-ray) and ultrasound, a thin catheter (a long, flexible tube) is inserted into a vein, typically through a small incision in the neck area. Contrast dye is injected through the catheter, and X-ray images are taken to visualize the pelvic veins. This helps the interventional radiologist identify the specific veins that are dilated or congested. Once the problematic veins are identified, various embolic agents (materials) such as coils, foam, or sclerosing agents are used to block off these veins. This process is known as embolization. The choice of embolic agent depends on factors such as the size and location of the veins being treated. You may be given a mild sedative to help you relax and remain still during the procedure.
How Do I Prep For The Procedure?
Do not eat or drink anything after midnight (12:00 am) the night before your procedure. You may take medications with a sip of water in the morning. Bring a list of all prescribed medications with you to the procedure. You may be asked to hold diabetic/weight loss medication or blood thinners. You should arrange to have someone take you home after the procedure.
What Happens After The Procedure?
The patient is usually monitored for a short period to ensure there are no immediate complications. Patients go home the same day. Patients can typically resume normal activities within a day or two following the procedure. Some mild discomfort, bruising, or spotting at the insertion site is normal and should resolve within a few days.
Call To Schedule
1055 Post Road, Suite 150
Fairfield, CT 06824
Fax 203.380.3252
