Pelvic Pain, Varicose Veins
Conditions
Keywords
Embolization, Therapeutic, Pelvis
Brief summary
Results of recent systematic reviews suggest favorable results of embolization for the treatment of Pelvic Congestion Syndrome (PCS) compared with pre-procedure symptoms for several outcomes, including pain reduction, overall patient satisfaction, and technical feasibility. Reported complication rates appears relatively low. Pelvic vein embolization is a relatively new technology and the results may provide background for an evidence based decision to offer embolization of pelvic varicosities for women with PCS in Norway.
Interventions
Embolization of pelvic vein varicosities
Sponsors
Study design
Intervention model description
All female patients referred for assessment of chronic pelvic pain at the gynecological outpatient clinic or the Multidisciplinary Pain Clinic at St. Olavs Hospital are eligible for initial assessment
Eligibility
Inclusion criteria
* Pelvic pain (lasting for more than 6 months) * Symptoms of PCS - deterioration of pain when standing and improvement in supine position (with or without dyspareunia or dysmenorrhea). * Confirmed pelvic varicosities by magnetic resonance examination. * Signed, written and informed consent
Exclusion criteria
* Inability to communicate in Norwegian * Known endometriosis * Uterine myoma, uterine anomalies, or cancer * Postmenopausal * not having been pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| chronic pelvic pain | 3 months | assessed by a numeric rating scale (0-10) within the questionnaire of the Norwegian Society for Pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health related quality of life (HRQOL) | 3 months | based on the SF-8 and mental health measurements based on the 5-mental health inventory |
| Sexual function | 3 months | assessed with a short screening tool for sexual dysfunction, containing 4 questions plus 6 sub-questions (Hatzichristou D et al. J Sex Med 2004) - Norwegian translation (non-validated) |
Countries
Norway