Maciej Paszkowski

Medical University of Lublin
Poland

Abstract Title: Effectiveness of venous embolization for pelvic pain

Biography:

Research Interest:

Introduction: It is estimated that chronic pelvic pain (CPP) affects up to one in four women on a global scale. This condition is characterised by the presence of lower abdominal pain that is either cyclic or non-cyclic and persists for a period exceeding six months. One treatment option for this condition is endovascular embolization, a procedure that involves occluding the ovarian or pelvic veins that show the greatest dilatation or retrograde flow, starting with the most distal vessels. Despite the advent of increasingly sophisticated diagnostic techniques, the aetiology of CPP remains enigmatic. Conventional treatment options, including surgical interventions and drug therapy, are employed in the management of CPP. However, endovascular embolization offers several advantages over these methods, including reduced complications and reported success rates ranging from 80% to 95%, as supported by the existing literature.

Aim: The present study sets out to demonstrate the efficacy of intravascular venous embolization in the treatment of pelvic pain in women. The study demonstrates that effective management of patients with CPP necessitates close collaboration between a gynaecologist and an interventional radiologist.

Material and methods: The present study comprised 247 patients who underwent intravascular embolization of veins treated in the Third Department of Gynecology, Medical University of Lublin, 20-954 Lublin, Poland, between April 2022 and December 2024.

Conclusion: The efficacy of embolisation was demonstrated in over 85% of patients undergoing the procedure. Greater effectiveness was demonstrated in women who were not overweight or obese. Furthermore, the number of pregnancies and how they were terminated were found to be statistically significant factors in determining the effectiveness of embolization. A survey conducted 6 and 12 months after treatment revealed that 95% of patients reported either alleviation or complete resolution of their symptoms. The findings of this study suggest that embolization, a collaborative effort between gynaecologists and interventional radiologists, has the potential to supplant conventional treatment methods shortly.