Venous Insufficiency
Conditions
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.
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.
Interventions
PROCEDUREembolotherapy of incompetent gonadal and iliac veins
minimally invasive
Sponsors
Assiut University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
premenopausal women with dull aching pain with ovarian point tenderness and post coital pain.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* premenopausal women ovarian point tenderness post coital pain atypical lower limb varices
Exclusion criteria
* endometriosis diverticulitis fasciitis psychosexual dysfunction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The difference in pain score before and after therapy | one year | validated analogue scoring of pain From 0 to 10 according to symptoms improvement |
Outcome results
None listed