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mamadeesix mamadeesix

Sclerotherapy-how do they target the correct veins

I have had 2 treatments already on pelvic congestion veins.....but my right leg vericose veins and those in the vulva area have not improved.  Am prob going to need sclerotherapy directly on those veins.

Can anyone tell me how they target the correct veins when they do this?  Apparently the valves in my legs are ok, so scanning there won't help.  They issue started farther up, as it is the valves in my pelvis that were refluxed.

You can't see all the vericose veins well when I am laying down.  Only when I stand up do they all pop out.  So......how does the doctor know which veins to inject?  And how do they get all the ones (and branches) they need to?

I have googled this to death and can't find anything other than they use ultrasound guidance.......

4 Replies

  • MarkWann MarkWann mamadeesix

    Hi M,

    The purpose of the ultrasound guidance is to target the intended treatment area. I have had this surgery twice before with mixed results-this has been an embarrassing problem that has increased as I haven played tennis over the years-I am currently using noninvasive transdermal CO2 therapy...it is ongoing however the results are visible and pretty significant

    Mw

  • willy278 willy278 mamadeesix

    hello,

    It sounds like you haven't had any ultrasound visits yet. I have had 4 sclerotherapy procedures and each time the vein which was 'ineffecient' had been properly identified by ultrasound.

    They also use ultrasound after the procedure to ensure the correct vein was identified and as a check-up preclude to signing off.

    I'm probably about to have another one as I was told by the consultant that in my case, I need to check for any change in skin colour which indicates blood in the wrong places as well as Oedema. I've caught them (or rather my wife has noticed a change) as they start to go wrong - this is much easier and less painful that any other 'surgical' procedure, I've had two of those before and the consultant is reluctant to go in there again as theres too much scar tissue around the saphenus vein area. Sclerotherapy is great for me plus I can keep going back as long as I need to, rather than watching my leg ulcerate.

    Don't worry they'll get the correct ones.

     

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