Pelvic varices of the gonadal veins affect both males and females presentin
g as varicoceles in the former and utero-ovarian varices in the latter. The
se varices are frequently encountered in the general population and can be
directly associated with a significant morbidity. The affected venous axes
can be easily catheterized in a selective, retrograde manner and can then b
e occluded through this minimally invasive route, thus avoiding the major s
urgical complications while giving results comparable or superior to those
of the various surgical techniques. These pathologic processes and their en
dovascular treatment will be discussed.