Treating Women in the Dallas & Fort Worth Area
Uterine Fibroid Embolization
Uterine fibroid embolization (UFE) is a less invasive procedure for the treatment of uterine fibroids. The process typically lasts less than an hour and requires only a small skin in the groin to access the femoral artery. The procedure is designed to block the blood supply to the uterine fibroids, causing them to shrink. As an alternative to hysterectomy, UFE is clinically proven to reduce the major symptoms of uterine fibroids without having to undergo a more invasive procedure such as hysterectomy or myomectomy.
Pelvic Venous Congestion
Pelvic Venous Congestion (sometimes called Pelvic Venous Congestion Syndrome) occurs when the ovarian veins and other veins in the pelvis become dilated or varicose. This occurs when the one-way valves in the ovarian veins, that are intended to keep the blood flowing back to the heart, fail and allow the blood to reflux back down the veins and pool in the pelvis. This in turn causes the veins to dilate in the pelvis which can lead to symptoms. About 15 percent of women between the ages of 20 and 50 have pelvic vein reflux and varicose veins in the pelvis, but not every woman experiences symptoms. Symptoms can include pelvic pain and pressure (especially at the end of the day after being up on your feet), vulvar pain, pain with intercourse. Occasionally varicose veins are seen in the vulvar region, buttocks, or thighs.
Since there are no little to no outward signs of pelvic vein reflux in women, the diagnosis Pelvic Venous Congestion Syndrome is often made only after all other causes of pelvic pain have been excluded. Many women can go for years with symptoms of chronic pelvic pain with no diagnosis. Treatment for this condition is accomplished with a procedure called coil embolization. A small catheter is placed into the venous system and directed into the abnormal refluxing ovarian veins. Small coils are then placed through the catheter into the veins to prevent further reflux.
For more information about Pelvic Venous Congestion, please visit Society of Interventional Radiology.
May-Thurner Syndrome is also called iliocaval compression syndrome, Cockett syndrome, or iliac vein compression syndrome. Although many patients present with a left leg DVT, some patients present with just left leg swelling that is not relieved by treating incompetent saphenous veins. This leg swelling occurs due to compression of the left common iliac vein by the overriding right common iliac artery. This disorder is more commonly seen in young women in their second to fourth decade of life, after prolonged immobilization or pregnancy. Because of the chronic nature of the disease process, patients may also present with associated symptoms consistent with post-thrombotic syndrome such as pigmentation changes, varicose veins, chronic leg pain, phlebitis and recurrent skin ulcers.
This condition can be diagnosed with pelvic venography and is usually treated with angioplasty of the left common iliac vein followed by placement of a stent in the left common iliac vein.
Fallopian Tube Recanalization
A treatment for infertility – when fallopian tubes become blocked by scar tissue, eggs from the ovaries cannot pass to the uterus for implantation. This is first diagnosed with a procedure called a hysterosalpingogram. A speculum is inserted into the vagina, similarly to how an OB-GYN performs a pelvic exam. A small tube is then inserted into the cervix and contrast dye is injected into the uterus to demonstrate any blockages in the fallopian tubes. A small catheter can then be directed to the blockage and most of the time the blockage can be opened. This is a non-surgical procedure and can be done in an outpatient setting with little or no sedation.
For more information or to request an appointment, call (972) 724-2000.