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Unread 12-07-2003, 07:13 PM
pelvic venogram

I am new to this site and this is my first message. I was diagnosed 7/03 with endo. My OB/GYN wanted to do a hyster. as of 8/29, but I didn't agree that would take care of my pain. Since then I have seen a GI doctor who did a CT scan, blood work and a colonoscopy. Everything came back normal, the only thing that he noticed was that during my colonoscopy, when going through the left side of my colon(where the majority of my pain comes from)it REALLY hurt me. He said everything was fine inside and there must me something on the outside. Now, I have started to see a specialist in Rochester, <doctor's name snipped in accordance with site guidelines>(whom I have seen that some of you go to him also). My first visit was just last week. He thought that my pain(which is very severe now)may be caused by Trigger Points. He tried the Trigger Point Inject., but unfortunately they didn't work. Next he wants to do a Pelvic Venogram. I don't know much about it, other than it takes about 3-4 hrs. to do and that it looks at the pelic veins. Has anyone had one before and can you tell me exactly what to expect? I live about two hrs. away from Rochester and I want to know why it takes so long and will I feel up to driving home after. I do have a brother who lives in Roch., so if I need to I could stay there, but I'd rather come home. Thank you in advance for anyone who can give my some advice.
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Unread 12-07-2003, 11:11 PM
pelvic venogram


It's unlikely that you'd be driving home after this procedure . It's pretty invasive, and I can't pretend that it's a whole lot of fun. My understanding is that they do use sedation, and the amount of time is what it takes to get you all prepped (about 20 minutes or so) and do whatever dye injections they need to do to see what you've got going on.

Is your doctor planning an embolization procedure? That's where they insert small coils into the vein that drains from the ovary to help cut down on the congestion, if that's what's leading to your pain. You may still get no answer, though, without going on to laparoscopy. Even a venogram, especially depending upon the point in your cycle, may not reveal severe endometrial implants.

It won't be your doctor doing this procedure; it would be an interventional radiologist accustomed to such procedures. Why don't you call the radiology department of the hospital where you plan to have this done and ask them what the procedure entails? They normally have brochures that they can send out explaining most of the different studies that they perform. That would give you an excellent idea of what to expect.

As my opening sentence points out, after a sedative, driving home isn't safe. You will need to arrange (maybe with your brother?) for a ride from the hospital. You may then want a day or so to rest up from the procedure before you return to work.

I sure hope the venogram brings you one step closer to that elusive diagnosis. It makes it so much easier to tolerate the pain if you just know what's going on!


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