Pelvic Vein Embolisation
A keyhole procedure that blocks enlarged veins in the pelvis, effectively curing chronic pelvic pain caused by pelvic congestion syndrome.
Pelvic vein embolisation (PVE) is a minimally invasive catheter-based procedure that permanently closes dilated, refluxing pelvic veins causing pelvic congestion syndrome — performed as an outpatient intervention under local anaesthesia without surgical incisions.
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Pelvic vein embolisation permanently seals off the malfunctioning veins, relieving the heavy, aching pain associated with pelvic congestion.
The Procedure
A catheter is introduced via neck or groin access and selectively navigated to the target pelvic and gonadal veins. Contrast imaging confirms the extent of reflux, then vessels are occluded using metal coils and sclerosant agents. The procedure takes 45–90 minutes and same-day discharge is typical.
Results & Evidence
Clinical studies consistently demonstrate significant and sustained pain relief, with 70–85% response rates at five-year follow-up. PVE is recognised as the first-line interventional treatment for pelvic congestion syndrome in international guidelines.
Recovery
- Same-day discharge for most patients
- Light activities resume within 2–3 days
- Desk work typically possible within 3–5 days
- Post-embolisation syndrome (mild cramping, low fever, fatigue) is expected and resolves within 2–5 days
Who Is a Candidate
- Women with chronic pelvic pain of 6 or more months duration
- Pelvic congestion confirmed on imaging — MRI, CT, or ultrasound
- Gynaecological causes excluded by specialist assessment
- Failed conservative management or medical therapy
Risks & Complications
PVE has a well-established safety profile. Minor effects include bruising at the access site and transient nausea. Rare complications include coil migration, which is managed during or after the procedure if it occurs.
Considering Pelvic Vein Embolisation?
Dr. Peter Chang will assess your suitability and discuss all treatment options during a specialist consultation at Paragon Medical Centre, Singapore.