Measuring Pain Relief After Gonadal Vein Embolization in Women with Pelvic Congestion Syndrome
Led by University of Kansas Medical Center · Updated on 2026-03-23
30
Participants Needed
1
Research Sites
52 weeks
Total Duration
AI-Summary
What this Trial Is About
Chronic pelvic pain affects nearly 40% of women during their lifetime, with pelvic congestion syndrome PCS responsible for up to 30% of these cases. PCS is caused by problems in the gonadal veins, leading to painful swelling in the pelvic veins. While medical treatments aim to reduce ovarian function and tighten the veins, they often provide limited and short-term relief. This research aims to measure how much pain relief patients experience after undergoing coil embolization of the gonadal veins and to identify factors that predict better or worse outcomes.
Participants will have coil embolization of the gonadal veins, a procedure performed to block the veins causing the congestion. This study observes patients treated in the Interventional Radiology division between October 2018 and October 2019. The degree of pain relief will be assessed over time, focusing especially on changes from before the procedure to one year after.
Women in the study will be assessed using the Pelvic Congestion Symptom Pain Scale at baseline and up to 360 days after the embolization. Researchers will monitor pain levels and analyze clinical or imaging characteristics that might predict treatment response. The total participation time covers one year post-procedure, during which pain and treatment outcomes will be carefully tracked.
CONDITIONS
Brief Title
Quantify the Degree of Pain Relief of Pelvic Congestion Syndrome Following Gonadal Vein Embolization
Research Team
C
Carissa Walter, MPH
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Meet the clinical and imaging criteria for the diagnosis of PCS and have no contraindications to coil embolization of the gonadal veins
Patients treated with coil embolization of the gonadal veins in the Interventional Radiology division between October 1, 2018 to October 1, 2019
You will not qualify if you...
Patients less than 18 years of age
Patients with an underlying cause of pelvic congestion syndrome unrelated to venous congestion and insufficiency, including nutcracker syndrome or a mass causing compression of the gonadal veins
Patients who have received prior surgical therapy for PCS, including bilateral salpingo-oophorectomy, gonadal vein resection, or gonadal vein ligation
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Observational Monitoring
Duration - Up to 12 months after the procedure
Participants who have undergone gonadal vein embolization are observed to quantify pain relief over time using the Pelvic Congestion Symptom Pain Scale.
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
0
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Published Research Related To This Trial
A Randomized Trial of Endovascular Embolization Treatment in Pelvic Congestion Syndrome: Fibered Platinum Coils versus Vascular Plugs with 1-Year Clinical Outcomes.
Jose A Guirola, Maria Sánchez-Ballestin, Sergio Sierre...