Pelvic Congestion Syndrome Treatment Cape Town South Africa

WOMEN’S HEALTH SERVICES

PELVIC CONGESTION SYNDROME

What is pelvic congestion syndrome?

Pelvic congestion syndrome, or PCS, serves as the primary cause of chronic pelvic pain in women who are in their childbearing years. Pain from PCS could be inconsistent or long-lasting, which happens to prolong between three to six weeks. Pain that radiates within the pelvis or abdominal region, which happens to last throughout the menstrual cycle and without any clear link to pregnancy, is referred to as chronic pelvic pain.
Pelvic congestion syndrome is a vascular-related condition that targets the veins within the pelvic area, but no clear blood drainage output exists.

WHAT ARE THE SIGNS OF PELVIC CONGESTION SYNDROME?

Pelvic congestion syndrome can greatly impact the lives of women who suffer physical and emotional signs of the condition.

Several common signs of pelvic congestion syndrome include the following:

Pressure and pain within the pelvic area that lasts over six months.
Highly unusual level of discomfort, particularly with each menstrual cycle.
Pelvic pain that occurs directly after or during sexual intercourse.
A full sensation within particular regions of the reproductive system, including the vaginal region, pelvic area, perineal area and labia.
Swelling and inflammation within specific regions of the reproductive system, including the perineal area, labia and vagina.
Varicose veins appear in the upper thigh, labia, vagina, suprapubic and perineal region.
Increase in urine frequency.
Stress incontinence.

The primary sign of pelvic congestion syndrome is the duration of the pressure, pain during intercourse and the level of discomfort during a menstrual cycle.

DIAGNOSIS OF PCS?

Pelvic ultrasound and/or Computed Tomography (CT) scan are usually the first imaging modalities used to evaluate chronic pelvic pain.

HOW DO YOU TREAT PELVIC CONGESTION SYNDROME?

Treatment options for pelvic congestion syndrome include the following:

Injection of sclerosants or placing coils in the enlarged pelvic veins forces blood to redistribute through smaller channels, thus improving the symptoms of PCS.

FAQ

1Who does pelvic congestion syndrome commonly affect?

Pelvic congestion syndrome usually affects women who have had more than one childbirth.

2How long do symptoms of pelvic congestion syndrome last?

Symptoms of pelvic congestion syndrome are chronic, meaning these symptoms last six months or more.

3Is there a way to test for pelvic congestion?

Yes, you can test for pelvic congestion using Pelvic ultrasound, CT or venography.

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INTERVENTIONAL RADIOLOGY SERVICES

ONCOLOGY

Trans-arterial chemoembolization for liver tumours
Trans-arterial radioembolization for liver tumours.
Placement of Percutaneous gastrostomy tubes and exchanges in patients with head and neck cancer.
Permanent tunneled drains for Malignant pleural effusions and ascites
Pleurodesis
Refractory pain management using image guidance
Kyphoplasty and vertebroplasty in patients with pathological compression fractures and pain.
Port placements and removals
PICC lines and Hickmann lines.

HEPATOBILIARY AND HEPATOLOGY

Percutaneous Transhepatic Cholangiography with biliary drain and stent placements
Trans-jugular intrahepatic portal-systemic Shunt TIPSS
Coil and Balloon assisted retrograde transvenous obliteration (CARTO/BRTO)
Liver ablations
Trans jugular liver biopsies
Cholecystostomy
Portal vein embolization's
Plugged liver biopsies