Embolisation for Pelvic Congestion Syndrome (PCS)
Embolisation is the minimally invasive standard therapy for Pelvic Congestion Syndrome (PCS). It specifically closes off the enlarged, malfunctioning pelvic veins from the inside, so that backed-up blood can no longer pool in them.
The procedure is performed via a catheter-based access, usually through the vein in the groin or arm, under X-ray guidance. Small metal coils or a sclerosing agent permanently close off the affected vein – without the need for an abdominal incision.
Embolisation is one of the best-studied procedures for PCS: studies show technical success rates of 98 to 100 percent and a lasting improvement in symptoms in 80 to 93 percent of patients.
Important information:
A well-established standard for PCS
Embolisation is a minimally invasive procedure that has been established for many years to treat Pelvic Congestion Syndrome. In most patients, it leads to a lasting improvement in symptoms within a few weeks.
How the procedure works
Through a small access point, usually in the groin, the doctor guides a thin catheter under X-ray guidance to the affected pelvic veins. There, the enlarged veins are specifically closed off with small coils and/or a sclerosing agent. The procedure is usually performed as an outpatient treatment or with a short hospital stay, under local anaesthesia or light sedation.
Effectiveness and outlook
Embolisation is considered highly effective: studies show technical success rates of 98 to 100 percent, with 80 to 93 percent of patients experiencing a lasting improvement in symptoms over one to five years.
Possible side effects
Temporary lower abdominal pain, a slight pulling sensation in the back, or bruising at the puncture site can occur after the procedure. Serious complications such as coil migration or vein inflammation are rare.
After the procedure & knowing your alternatives
Most patients can leave the clinic the same day or the following day and are back to their daily routine within a few days. Medical therapy is an alternative or complementary option – particularly as a first, conservative step, or if embolisation is not (yet) desired.
Frequently Asked Questions
Frequently asked questions about embolisation for PCS.
How safe is embolisation and how good are the outcomes?
Embolisation is considered a very safe procedure with high success rates (98–100% technical success) and a lasting improvement in symptoms for the vast majority of patients.
What happens after the procedure – will I be back on my feet quickly?
Yes, embolisation is considerably gentler than open surgery. Many patients are back to their daily routine after one to two days, but should avoid physical exertion for one to two weeks.
Does embolisation affect my fertility?
No, the ovaries themselves are not treated during embolisation – only the venous blood vessels. Based on current knowledge, no effect on fertility is expected.
Are there alternatives – and who are they suitable for?
Yes. Medical or hormonal therapy can be a sensible first, less invasive treatment step – particularly for milder symptoms. If it does not work, embolisation is the more effective, long-term solution. Your specialist will advise you individually.
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