Short-term outcomes of ovarian vein embolization with adjunctive local sclerotherapy in patients with pelvic venous disorder and vulvar varicosities: a single-center retrospective experience - Summary - MDSpire
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Short-term outcomes of ovarian vein embolization with adjunctive local sclerotherapy in patients with pelvic venous disorder and vulvar varicosities: a single-center retrospective experience
To describe the short-term safety, procedural characteristics, and clinical outcomes of ovarian vein embolization with adjunctive local sclerotherapy in women with pelvic venous disorder presenting with vulvar/external genital varicosities.
Approach:
Assessment: Clinical assessment included symptom evaluation, VAS, PVCSS, and follow-up imaging with a median follow-up duration of 7.0 months.
Key Findings:
Technical success achieved in all patients.
Mean VAS decreased from 5.8 ± 1.8 before treatment to 0.9 ± 0.9 at follow-up.
Mean PVCSS decreased from 10.7 ± 2.3 to 4.0 ± 1.6.
Complete symptom relief in 9 patients (56%) and partial relief in 7 patients (44%).
No reintervention required and no major procedure-related adverse events observed.
Interpretation:
Ovarian vein embolization with adjunctive local sclerotherapy was technically feasible and associated with short-term symptom improvement.
Limitations:
Small sample size of 16 patients.
Retrospective design may limit the generalizability of findings.
Lack of systematic mapping of reflux points.
Conclusion:
The study supports the feasibility and short-term efficacy of the combined treatment approach in this patient subgroup.
