This project was funded by the NIHR Health Technology Assessment programme in response to their open call for an evidence synthesis project to answer the question of whether there is a relationship between refluxing pelvic veins and pelvic pain.
To answer this question we will be undertaking the following projects:
- Systematic review of the relationship between chronic pelvic pain and radiological evidence of refluxing pelvic veins.
- Systematic review of the effectiveness of embolisation and ligation of pelvic/ovarian veins. We hope to collect IPD (individual patient data) from the included trials in order to identify factors which will predict a successful outcome. If we receive enough IPD we will carry out an IPD-meta analysis.
- Survey UK, European and international use of pelvic vein embolisation/schlerotherapy amongst gynaecologists, interventional radiologists and vascular specialists.
- Elicit clinicians' prior beliefs on the effectiveness of embolisation/schlerotherapy for pelvic congestion syndrome.
This will culminate in establishing the need for, and potential gain from, a randomised controlled trial of pelvic vein embolisation or schlerotherapy for pelvic congestion syndrome