Pelvic Vein Embolisation (PVE) is a minimally invasive, image-guided procedure used to treat pelvic venous congestion syndrome, a condition often associated with chronic pelvic pain in women. Under X-ray guidance, a thin catheter is inserted into a vein, usually via the jugular or femoral vein and carefully navigated to the pelvic veins. Once in position, embolic agents such as metal coils or Gelfoam are released to block the abnormal or refluxing veins, thereby preventing blood from pooling. These materials have been safely used for many years in other vascular procedures. PVE offers a safe and effective alternative to open or laparoscopic surgery, with reduced recovery time and excellent clinical outcomes when performed using specialised techniques.
Pelvic congestion syndrome can be diagnosed using a duplex ultrasound scan. Some patients may have no symptoms, while others may experience a range of symptoms including pelvic pain, a dragging sensation in the lower abdomen, hip or lower back pain, abdominal bloating, increased urinary urgency, or visible veins in the vulval or genital area.
This minimally invasive procedure is performed under local anaesthetic and is generally well tolerated with minimal discomfort. The treatment involves closing the affected veins, which commonly include the left and right ovarian or testicular veins, as well as the left and right internal iliac veins.
Anaesthetic Details
Pelvic vein embolisation is performed under local anaesthesia, which numbs the area while allowing the patient to remain awake and comfortable throughout. It is a walk-in, walk-out day case procedure, requiring no overnight hospital stay.
Number of treatment Sessions
Pelvic vein embolisation is typically completed in a single treatment session. From arrival to discharge, the entire procedure typically takes between 2.5 and 3 hours.
Pain Level
A brief sting may occur when the local anaesthetic is administered in the neck. If foam sclerosant is used during the procedure, some women may experience pelvic pain similar to period pain, while men may feel a mild stinging sensation in the pelvic area. These effects are temporary and usually resolve within a few minutes.
Price Range
The price range is £4,400 to £6,800, with additional coils charged at £380 per coil.
Financial Aids
Low-interest finance options are available to help spread the cost of pelvic vein embolisation, making treatment more accessible.
Recovery from pelvic vein embolisation is usually rapid, with most patients able to return to their normal activities almost immediately. While a small number of individuals may experience mild post-embolisation symptoms, such as flu-like fatigue, these are generally short-lived. As part of the aftercare, the small incision on the neck, where the catheter was inserted, should be kept clean and dry for the first 24 hours to minimise the risk of infection and promote healing.
During the procedure, X-rays are utilised along with a contrast dye containing iodine, which carries approximately a 1% risk of allergic reaction. In very rare cases, there is around a 1% chance that the coils used may migrate or become dislodged. If a foam sclerosant is employed, there is also a small risk of allergy. Comprehensive details of all potential risks are outlined in the consent form.
Pelvic vein embolisation at The Whiteley Clinic boasts a clinical success rate of 98–100%, offering patients highly effective and reliable treatment.
The recurrence rate of varicose veins or venous issues following pelvic vein embolisation can vary depending on factors such as the initial severity of the condition and post-treatment care. On average, the recurrence rate after five years for this minimally invasive procedure is reported to be less than 8%.
4.9 – 733 reviews
4.9 – 733 reviews
4.9 – 733 reviews
4.9 – 733 reviews
4.9 – 732 reviews
4.9 – 730 reviews
If you have any questions, requests, or need assistance, please contact us using the form below. Our team is ready to help.
Phone Call
0330 058 1850
Head Office
Stirling House, 1 Stirling Road, Guildford, Surrey GU2 7RF
