What criteria do you use to surgery? Which embolization technique do you use?
To my opinion the ovarian/iliac vein embolization/coils is indicated only in symptomatic cases with important pain or dyspareunia. I consider that in varicose veins (recurrent varicose veins) due to PCS the treatment can be limited to local intervention - phlebectomy or sclerotherapy. If symptoms are mild - the course of MPFF (micronized purified flavonoid fraction) can be tried.
Please find your answer in:
1. Freedman J, Ganeshan A, Crowe PM. Pelvic congestion syndrome: the role of interventional radiology in the treatment of chronic pelvic pain.Postgrad Med J. 2010 Dec;86(1022):704-10. doi: 10.1136/pgmj.2010.099473.
2. Smith PC. The outcome of treatment for pelvic congestion syndrome.Phlebology. 2012 Mar;27 Suppl 1:74-7. doi: 10.1258/phleb.2011.012S01.
Orgasms.
No different to what men experience when partially aroused. The Americans call it "blue balls". I'm more refined. I call it "orchitis amorosa".
The indication for surgery PCS is symptoms of PCS and expansion and reflux of blood through the gonadal veins. However, up to the end not clear whether it is necessary to do surgery for asymptomatic pelvic varicose veins.
Embolization gonadal veins - not a reference treatment for PCS. Resection of gonadal veins produces better results at lower cost.
Indications for operation at the moment - chronic pelvic pain in combination with blood reflux along the gonadal and internal iliac veins. While it's true.
Colleagues, answer yourself: would you like to have a piece of iron in the body of a dozen? Given the fact that other minimally traumatic ways to cure the disease, for example, retroperitoneal endoscopic resection of gonadal veins?
Why do not embolization coils of the great saphenous vein? Non-invasive, high-tech?
And how to deal with gonadal veins with a diameter of 10-15 mm without symptoms РСS?
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