What are the Treatment Options ?
Hysterectomy is performed to remove the uterus and cervix. In PCS treatment, the objective of organ removal is the suppression of ovarian activity. Nevertheless, efficacy is unclear and the treatment bears all risks of an open surgery. 5
Surgical transperitoneal ligation of the ovarian vein has been associated with improvement in pain in approximately 75% of patients. The approach can be laparoscopy, robotic assisted laparoscopy or laparotomy.4
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Ovarian Vein Embolisation
Ovarian Vein Embolisation has become the mainstay of treatment for patients with Pelvic Venous Congestion Syndrome. Different sclerotic agents can be used including sclerosant foam, glue, Amplatzer vascular plugs and coils.
Multiple studies have evaluated this treatment option, reporting mean success rate of 75%, low recurrence rate of 5% and relative safety.4
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