Women With Pelvic Pain May Require Treatment For Pelvic Vein Incompetence

New York cardiovascular surgeon Dr. David Greuner says chronic pelvic pain accounts for up to 40% of all gynecology office visits. “Ovarian vein embolization is an effective treatment for those women who have pelvic vein incompetence,” he says.

Online PR News – 05-December-2013 –New York, NY - “Up to one in four women who have varicose leg veins also experience chronic pelvic pain or a sensation of pressure or pain during sex,” says Dr. David Greuner, managing director of NYC Surgical Associates. “A woman's pelvic pain is considered chronic if she's had it for at least six months,” he says.

“While there are many causes of chronic pelvic pain, the one our physicians focus on is called pelvic venous insufficiency, or pelvic vein incompetence,” says Dr. Greuner. “This condition is related to problems with the veins and circulation in the ovaries, particularly overly enlarged veins. You might think of it as varicose veins of the ovaries.”

“Pelvic vein incompetence is often caused by problems in the veins’ valves.The ovarian veins are affected, which leads to varicosity in the pelvic area, and sometimes varicose veins can be seen at the tops of the thighs or in the groin.” 

Dr. Greuner says pelvic vein embolization is an effective treatment for women with pelvic vein incompetence. “The procedure is performed on an outpatient basis, using x-ray guidance. It's an incision-less procedure in which a catheter is threaded through the groin or thigh into the veins around the ovaries that are not working correctly,” he says. 

“The non- functional veins in the pelvis (where blood is pooling in excess and not circulating) are closed off using foam or another blocking method,” says Dr. Greuner. “This prevents blood from pooling in the non- functional veins that are the source of pain. It releases pressure on the organs in the pelvis removing the compression of the pressurized blood on the organs.”

“An image called a ‘venogram’ is performed before and after the procedure, to demonstrate outcome by comparing the two images to ensure a successful result,” says Dr. Greuner. “Patients are able to go home and resume most activities immediately after the procedure, depending on whether IV sedation is or is not used.”

“Often a significant improvement in pain is apparent within the first few days post procedure, and no downtime is needed. Patients can resume work and normal activities the following day.”

"Embolization is very effective in the treatment of pelvic venous insufficiency," says Dr. Greuner. "Reports from peer-reviewed literature have shown a success rate of 95% to 100%. In addition, 83% of patients reported significant improvement in their symptoms. It is important to note that although the veins we treat are unlikely to come back, in some cases other pelvic veins may require additional treatment in the future."

For more information or a consultation for treatment of chronic pelvic pain, visit www.nycsurgical.net or call 888-286-6600.

About Dr. David Greuner:
David A. Greuner, M.D., F.A.C.S. is a cardiovascular surgeon and managing director of NYC Surgical Associates.

Dr. Greuner is a diplomate of the American Board of Surgery and a fellow of the International College of Surgeons. He is licensed to practice medicine and surgery in New York, New Jersey, Connecticut, Massachusetts, Florida and Arizona.
Dr. Greuner was voted a “Top Surgeon” by the Consumers Research Council of America three years in a row, 2010, 2011, and 2012.


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