Our Procedures

 

Danny Chan, MD and Jaryd Stein, MD specialize in the diagnosis of chronic pelvic pain syndrome, as well as non-surgical treatments for this disease. This debilitating disease is far more common than most women (and their Gynecologists) realize and is often caused by Pelvic Congestion Syndrome.

Women with chronic pelvic pain caused by Pelvic Congestion Syndrome (PCS) can have disabling pain, often during intercourse or with other activities such as prolonged standing. Women frequently suffer from symptoms for years before the diagnosis is made and treatment is offered.

The causes of chronic pelvic pain are varied, but are often associated with the presence of ovarian and pelvic varicose veins. Pelvic congestion syndrome is similar to varicose veins in the legs. In both cases, the valves in the veins that help return blood to the heart against gravity become weakened and don't close properly, this allows blood to flow backwards and pool in the vein causing pressure and bulging veins. In the pelvis, these enlarged veins can cause pain and affect the uterus, ovaries and vulva. Up to 15 percent of women, generally between the ages of 20 and 50, have varicose veins in the pelvis. 

Once a diagnosis is made, if the patient is symptomatic, an embolization should be done. During this outpatient procedure, tiny coils often with a sclerosing agent are inserted into the enlarged veins to close them. This reduces the excess blood flow and decreases pelvic congestion. 

Through this procedure, pelvic pain and congestion can be dramatically reduced thereby improving womens' symptoms. This treatment can be performed in under 2 hours and on an outpatient basis without the need for long hospitalizations. Patients can return to normal activities almost immediately. Previously, women needed to have the uterus removed to treat pelvic pain caused by PCS, and with no guaranteed relief from their symptoms.

In addition to being less expensive to surgery and much less invasive, embolization offers a safe, effective, minimally invasive treatment option that restores patients to normal. The procedure is successfully performed in 95-100 percent of cases. Between 85-95 percent of women are improved after the procedure. 

Important points to consider:

  • Pelvic Congestion Syndrome can be treated on an outpatient basis with no open surgery. This can provide women with a more cosmetic outcome (only a small 2mm pucture is required in the neck and/or groin area)
  • Many patients will be able to return to normal activities much sooner and with less pain (when compared to traditional open surgical treatments)
  • Women frequently suffer from symptoms for years before the diagnosis is made and treatment is offered.
  • Precision’s Board Certified Interventional Specialists are recognized regional experts in the treatment and diagnosis of Pelvic Congestion Syndrome.

 

 

 

A mediport is a small medical device implanted beneath the skin, to give chemotherapy, to receive blood transfusions or draw blood, and to receive IV fluids or IV medications. The port consists of a reservoir which attaches to a catheter, a thin, soft plastic tube. The catheter connects the port through a vein in the neck. It is inserted in the upper chest and appears as a bump on the skin.

The mediport requires no special maintenance on your part and is completely internal, so swimming and bathing are not a problem.

Mediports-Patient Education Brochure

 


IVC stands for inferior vena cava, a major vein in the body that brings blood from lower parts of the body to the heart. An IVC filter is a small specially shaped metallic device placed in the inferior vena cava to prevent blood clots from traveling from the lower parts of the body to your heart and lungs. The filter is designed to allow blood to flow back to the heart even if clots are trapped within it.

When the circulation of blood slows down due to illness, injury or inactivity, blood can accumulate or “pool” providing an ideal setting for clot formation. A life threatening pulmonary embolism can occur when a clot breaks up and large pieces travel to the lungs blocking the flow of oxygen. This can cause sudden shortness of breath, chest pain and/or death.

lacement of an IVC filter is greater than 95% effective in reducing the risk of life-threatening pulmonary embolism. It is an outpatient same day procedure. Our doctors will discuss with you the procedure risks and benefits.

There are permanent and retrievable filters. Depending on your clinical situation, you will most likely receive a retrievable filter. When you are no longer at high risk for blood clots, the filter can be removed. If a retrievable IVC filter was placed, Precision Interventional physicians will follow you after filter placement as well as facilitate its removal.

IVC - Patient Education Brochure

 

Fibroids are typically benign, non-cancerous growths in or on the walls of the uterus, ranging in size from 1 to 6 inches in diameter. Most fibroids cause no symptoms, and are incidentally discovered during a routine pelvic exam or ultrasound.

Fibroid symptoms usually include:

  • Heavy, prolonged monthly periods, sometimes with clots
  • Anemia (fatigue due to low red blood count)
  • Pain or pressure between the hip bones or in the back of the legs
  • Pain during intercourse
  • Frequent need to urinate
  • Constipation or bloating
  • An enlarged belly

Uterine Fibroid Embolization (UFE) is a minimally invasive procedure that preserves the uterus and greatly reduces recovery time compared to surgical procedures. It is performed by an Interventional Radiologist using X-rays and other imaging techniques to treat the condition without surgery. UFE blocks the blood supply to fibroids, causing them to shrink. It requires only a small nick in the skin as opposed to a larger surgical incision. You should not have this procedure if you are pregnant or wish to become pregnant.

UFE - Patient Education Brochure