pcs & mts - got embolization but no stent
After almost a year of getting shuffled around to different doctors, I finally had a venogram a couple days ago to try and fix my pelvic pain issues. I was diagnosed first with pelvic congestion syndrome based on an ultrasound and subsequent laparoscopy, then I was also told I had MTS after having a CT scan done. During the surgery, the doctor did an embolization of my ovarian veins but no stent was placed for the MTS. The vascular doctor and IR have both consistently downplayed the existence of the compression, acting like it's really just not that important and shouldn't be what was causing my issues. One of them even told me directly that they don't believe in stenting for MTS as there are "no clinical benefits." I guess my concern here is that in all the papers I read about PCS and MTS and their relation to each other, I was under the impression that it was important to open the compressed vein BEFORE closing off the ovarian veins. Since the blood pooling in the pelvis is likely caused by the compression, wouldn't closing off the blood's alternative route just make it worse and more likely to redevelop through different veins? After the surgery, the doctor said that they didn't stent for MTS because my iliac vein still seemed to be functioning enough. Results from the CT scan say the vein is compressed to half its diameter at the point of compression. Of course I'm not a doctor so I don't really know how bad that is or not. Guess I just wanted to ask if anyone else has had an OVE with no stenting and how compressed was your iliac vein?