Pelvic congestion syndrome, who should we treat and how?

Pelvic congestion syndrome (PCS) is a condition that is difficult to diagnose but causes distress to a significant number of women. It is not difficult to treat by embolization but the technique is still evolving and results are by no means perfect. Nevertheless, the results of endovascular treatment are at least equivalent to those of surgery and better than conventional medical therapy. This paper will review the techniques and results reported for treatment of pelvic congestion syndrome.