[Pelvic vein embolization or sclerotherapy in pelvic congestion syndrome]

Mengarelli C, Bardach A, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Ciapponi A.
Record ID 32018001405
Spanish
Authors' recommendations: CONCLUSIONS No studies were found comparing pelvic vein embolization or sclerotherapy with laparoscopic pelvic vein ligation or with medical treatment (analgesics and hormone replacement therapy) in pelvic congestion syndrome. Very low quality evidence suggests that the treatment of chronic pelvic pain associated to pelvic congestion syndrome with pelvic vein embolization or might decrease pain symptoms with a low adverse event rate. No specific clinical practice guidelines were found recommending treatments for pelvic congestion syndrome, only guidelines about chronic venous disease from the American Society for Vascular Surgery suggest its use as a therapeutic option. Most Latin-American, United States and European health sponsors do not cover this technology because they consider it experimental. One United States health sponsor covers it only when the chronic pelvic pain does not respond to medical treatment and with diagnosis reached by venography or magnetic resonance imaging.
Details
Project Status: Completed
Year Published: 2017
URL for published report: https://www.iecs.org.ar/home-ets/
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Pelvic Pain
  • Varicose Veins
  • Pelvis
  • Female
  • Embolization, Therapeutic
  • Sclerotherapy
Contact
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.