The Effectiveness of Trans-catheter Foam Sclerotherapy of Pelvic and Atypical Lower Limb Varicosities
- Conditions
- Venous Insufficiency
- Interventions
- Procedure: embolotherapy of incompetent gonadal and iliac veins
- Registration Number
- NCT03652025
- Lead Sponsor
- Assiut University
- 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.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Female
- Target Recruitment
- 20
- premenopausal women ovarian point tenderness post coital pain atypical lower limb varices
- endometriosis diverticulitis fasciitis psychosexual dysfunction
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Study group embolotherapy of incompetent gonadal and iliac veins perimenopausal women
- Primary Outcome Measures
Name Time Method The difference in pain score before and after therapy one year validated analogue scoring of pain From 0 to 10 according to symptoms improvement
- Secondary Outcome Measures
Name Time Method