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Gonadal Vein Embolization

What is Gonadal Vein Embolization?

South Florida Vascular Associates performs gonadal vein embolization for women with pelvic congestion syndrome (varicose veins in the pelvic area) and men with varicoceles (varicose veins in the scrotum).

Women living with pelvic congestion syndrome can experience chronic pain that is not related to menstruation or pregnancy. This condition involves problems with blood flow in the pelvic veins; blood may flow backward causing the veins to twist and swell. Men living with varicoceles can experience pain, swelling, and infertility.

This minimally invasive treatment is a catheter-based technique used to treat abnormal vessels or veins.

Who is a Candidate for Gonadal Vein Embolization?

Women living with pelvic congestion syndrome or men with varicoceles can often benefit from gonadal vein embolization. To learn if this treatment is right for you, a consultation with your physician is required to discuss your medical history, symptoms, and more.

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– James R.

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– Josh R.

“Staff is awesome! Extremely knowledgeable & professional. They explained every step to me and spent plenty of time to answer my questions.”

– Anthony P.

“I was referred to Dr. W. Julian by my PCP and very happy that I was. Dr. Julian found a clogged artery that could have been life threatening if left untreated. My experience from consult to discharge was met courtesy, warmth and professionalism which helped me through my procedure. Sean greeted me and my son who explained the whole process and what to expect. I was also looked after by Josh, Jackie and Reuben who could not have been more supportive or communicative through this adventure.”

– Lorette K.

“The whole staff were very professional and very helpful in navigating me through every procedure, treatments and follow ups. I would certainly recommend South Florida Vascular Associates.”

– Don S.

“I have been very impressed by the way this office functions. Each and every person I’ve encountered has been very personable and professional. I’ve had minimal wait times before being seen. The tests I’ve had were done efficiently and results explained to me quickly. I would highly recommend this office.”

– Robert G.

“All of the staff were friendly, courteous, and professional. Examination and consultation were thorough and expedited in a timely manner. I felt relaxed throughout the visit and all my medical questions and concerns were met and answered to my satisfaction. Would recommend this office to anyone seeking vascular care.”

– Felix G.

“I highly recommend this office for any vascular procedure you may need. The staff are awesome. They were very considerate and professional. My procedures were all a success and I am very happy with the end result. Top marks on everything.”

– Todd H.

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The Gonadal Vein Embolization Procedure

The gonadal vein embolization procedure is performed under local anesthesia or mild sedation. To start, your interventional radiologist will thread a catheter from the femoral vein or the jugular vein in the neck into the faulty varicose veins.

Next, the doctor will insert one or more coils along with a sclerosing agent which clots the blood and seals off faulty veins through the catheter. The sclerosing agent also travels into the tiny secondary branches of the blood vessels to close them off (these vessels typically cause recurrences with surgical ligation).

When you stand up, the vein will be closed, and blood no longer fills the varicose veins in the pelvic area or scrotum. Any pain from these veins will be resolved. For many men, their sperm count and motility also improve.


William Julien, MD

Board-Certified Vascular Interventional Physician


Mana Khatkar, PA-C

Certified Physician Assistant


Anissa Rodriguez, NP-C

Certified Nurse Practitioner


Gonadal Vein Embolization Aftercare

Gonadal vein embolization is an outpatient procedure, so you can return home on the same day as your procedure. Be sure to follow your doctor’s aftercare instructions regarding medication and physical activity for optimal outcomes.

Schedule a Consultation

For more information about gonadal vein embolization, feel free to contact our offices conveniently serving the greater Southeast Florida region. We’re located in Coconut Creek, Boynton Beach, and Plantation, FL, and provide advanced vascular and interventional oncology treatments performed on an outpatient basis.