The Effectiveness of Trans-catheter Foam Sclerotherapy of Pelvic and Atypical Lower Limb Varicosities
Study Details
Study Description
Brief Summary
pelvic congestion is the most recognized consequence of pelvi-perineal venous insufficiency .
chronic pelvic pain prevalence is about 26.6 %in egypt. this research is going to evaluate the effectiveness of foam sclerotherapy and to conclude diagnostic and therapeutic algorithm for this problem.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
this study includes clinical and imaging and interventional aspects. detailed history and comprehensive examination of the patient. duplex ultrasonography to detect pelvic varices and presence of reflux. renal and left iliac venogram is usually the first step in the evaluation of compressive syndrome. then cannulate the gonadal and internal iliac veins selectively. contrast medium injected , the incompetent gonadal veins are generally dilated and the contrast pools in the pelvis after injection. embolization by injecting afoam sclerosant as distally as possible to occlude the pelvic venous plexus using occlusion balloon proximal.
follow up assessment by VAS score and duplex imaging.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Study group perimenopausal women |
Procedure: embolotherapy of incompetent gonadal and iliac veins
minimally invasive
|
Outcome Measures
Primary Outcome Measures
- The difference in pain score before and after therapy [one year]
validated analogue scoring of pain From 0 to 10 according to symptoms improvement
Eligibility Criteria
Criteria
Inclusion Criteria:
- premenopausal women ovarian point tenderness post coital pain atypical lower limb varices
Exclusion Criteria:
- endometriosis diverticulitis fasciitis psychosexual dysfunction
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Assiut University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- AssiutU777