Article

Gonadal vein embolization: treatment of varicocele and pelvic congestion syndrome.

Vanderbilt University and Vanderbilt Children's Hospital, Nashville, Tennessee.
Seminars in Interventional Radiology 09/2008; 25(3):261-70. DOI: 10.1055/s-0028-1085927
Source: PubMed

ABSTRACT Therapeutic embolization of the gonadal veins is performed on male and female patients for different clinical situations using similar techniques. The testicular varicocele is a common clinical problem associated with pain and reduced fertility rates. In women, chronic pelvic pain can be attributed to pelvic congestion syndrome, which is said to result from retrograde flow in incompetent ovarian veins. Both of these clinical problems respond well to gonadal vein embolization. In this article, we review the clinical evaluation, diagnostic workup, and technical aspects of percutaneous intervention of gonadal vein embolization. The supporting literature is also reviewed.

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