Background: Pelvic Venous Disorder (PeVD) is increasingly diagnosed with different modalities of treatment.

Patients and methods: This is a retrospective study in which we compared using metallic coil combined with sclerosant foam N-Butyl-2 Cyanoacrylate (NBCA) in females with PeVD in terms of clinical and technical success as well as safety. Adult patients with symptoms suggestive of primary PEVD and confirmed with Doppler US and /Or venography were eligible for the study. Secondary PeVD and lost Follow up were excluded.

Results: this study included 167 patients who were treated with coil and sclerotherapy (n = 87; Group I) or NBCA (n = 80; Group II) embolization. Immediate postoperative veins' closure was achieved in all patients in the two groups. At the 6-month follow-up, there was a statistically significantly higher occlusion rate in Group I (100% compared to 93.8% in Group II, p = 0.018) with five new cases of recanalization. The 6-month VAS score was lower in Group I (median of 1 and mean of 1.14 ± 0.904) than Group II (median of 2 and mean of 1.7 ± 1.32), with a statistically significant difference (p = 0.005).

Conclusion: The study emphasizes the potential advantages of the sclerosant foam and metallic coil combination in achieving favorable outcomes for patients with PeVD.

Keywords: Pelvic Venous Disorder (PeVD); cyanoacrylate; endovascular treatment; metallic coil; sclerotherapy.

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