Percutaneous treatment of XXXX .

@entity1 @entity43 @entity13420 @entity2371 @entity530 @entity1463 @entity158 @entity490 @entity1142 @entity546 @entity1118
INTRODUCTION: @entity2371 are enigmatic clinical conditions that may have considerable impact on the social and relational life of @entity1 . @entity1 usually complain of lower @entity490 that has lasted for more than six months, is intermittent or continuous, and may become worse during menses or after a hard day's work. Sometimes the @entity158 is accompanied by @entity546 , urinary urgency or @entity1142 . The traditional treatment of @entity530 has included both medical (analgesics, hormones) and surgical approaches (hysterectomy, @entity43 ). Recently, percutaneous transcatheter embolization has also been proposed. We report our experience with the percutaneous management of @entity530 , using the transbrachial approach and @entity1463 alone. MATERIAL AND METHODS: Between 1996 and 2001, 33 @entity1 underwent percutaneous treatment for @entity530 at our department. All the @entity1 had @entity1118 which was continuous in 69%; 20 @entity1 had @entity546 , whereas 8 had urinary urgency; 72% took analgesics on a regular basis. All the @entity1 underwent percutaneous treatment of @entity530 on a outpatient basis in a radiological suite, after receiving local anaesthesia. Sclerosis was performed with 3% @entity13420 . Follow-up consisted of a questionnaire at one month and gynaecological and ultrasound examinations at 6/12 months. RESULTS: The pre-procedural ultrasound examination had revealed a mean diameter of 4.5 mm for the right ovarian vein and of 6.3 mm for the left. We found one @entity530 on the right, 11 on the left and 21 bilaterally. At the one-month follow-up, @entity1118 was present in 13 @entity1 (39%); the @entity158 was continuous in three and intermittent in ten. At the follow-up after 6/12 months the symptoms were unchanged. Ultrasound revealed a reduction in periovarian varicosities, recording a mean diameter of 3.19 mm on the right and 4.5 mm on the left. Symptoms persisted in @entity1 with pelvic varicosities measuring over 5 mm at ultrasound. CONCLUSIONS: @entity2371 that do not respond to medical therapy can be resolved by percutaneous management. Less expensive than surgery, this therapeutic option is safe, effective, minimally invasive and capable of restoring @entity1 to normal function. We propose the transbrachial approach as the first-choice treatment for bilateral @entity530 .
