Direct Fluoroscopic-Guided Sclerotherapy for Vulvoperineal Varices: An Experience in 70 Patients

Abstract Purpose The aim of this study was to assess the safety and effectiveness percutaneous vulvoperineal varices sclerotherapy using 2% polidocanol foam under fluoroscopic guidance. Subjects Methods This is a retrospective review prospectively collected data 70 patients treated between June 2020 November 2021, with mean age 31 years (range: 24–42 years). All were not pregnant residual after embolization their refluxing tributaries ovarian vein and/or internal iliac veins presenting heaviness/pain or without lower limb varicosities. Technical clinical successes together procedural complications assessed. Results technical success rate 100%. No minor major have been reported. Follow-up at 1 week, 2 weeks, 6 months, 12 months post sclerotherapy. Clinical observed in all improvement symptoms. Conclusion Direct fluoroscopic-guided for offers safe effective treatment option ability visualization pelvic leak points avoid recurrence.