Gonadal Vein Embolization

What is gonadal vein embolization?

Gonadal vein embolization is a minimally invasive procedure for the treatment of pelvic congestion syndrome. 

Pelvic congestion syndrome is a chronic pain condition caused by problematic veins in the pelvic area. People with pelvic congestion syndrome have enlarged veins in the pelvis. These veins then twist and fill with blood, causing pelvic pain. 

Gonadal vein embolization heats and destroys the enlarged veins to stop the pain. 

When should I consider gonadal vein embolization?

You should consider gonadal vein embolization if you have pelvic pain from pelvic congestion syndrome and medical interventions are no longer effective. 

Common symptoms of pelvic congestion syndrome include:

• Deep pelvic pain when sitting or standing
• Pelvic pain that worsens throughout the course of the day
• Bulging veins on the buttocks, thighs, or vulva
• Pain during or after sex

The enlarged pelvic veins may also put pressure on the bladder or rectum, causing bladder problems or lower abdominal or back pain.

If you have pelvic congestion syndrome symptoms that affect your quality of life, schedule a consultation at RIA Endovascular to find out how gonadal vein embolization can help you.

What happens during gonadal vein embolization?

Your experienced interventional radiologist at RIA Endovascular reviews the details of your gonadal vein embolization at your presurgical consultation so you know what to expect. 

Gonadal vein embolization is an outpatient procedure that is performed at the interventional radiology suite at RIA Endovascular. Your provider administers a sedative to keep you comfortable. 

They make a small incision near a vein, insert a catheter, and advance it toward the pelvic area. Once they locate the faulty veins, your provider injects an embolic agent that closes the vein, preventing further blood flow. 

The interventional radiologists use ultrasound or fluoroscopic imaging throughout the procedure to ensure accurate placement of the catheter and embolic agents.

You go to the recovery area for monitoring after the procedure, and then the team sends you home. Gonadal vein embolization takes about 60-90 minutes. 

When can I expect results from gonadal vein embolization?

Results from gonadal vein embolization vary. However, most people experience improvements in their pain within 1-3 months after closing the veins. 

Call RIA Endovascular today or book an appointment online to learn more about gonadal vein embolization.