Location
Philadelphia, PA
Start Date
8-5-2019 1:00 PM
End Date
8-5-2019 4:00 PM
Description
Introduction: Persistent genital arousal disorder (PGAD) is the female perception that they are in a state of sexual arousal, without the ability of the arousal to be satisfied by orgasm.
Aims: It is the hypothesis of this study that PGAD results from a minimal degree of nerve compression of the dorsal branch of the pudendal nerve. If this hypothesis were true, then PGAD could be treated by neurolysis of the dorsal branch of the pudendal nerve.
Methods: A retrospective chart review was carried out from 2010 through 2018, of those women having neurolysis of the dorsal branch of the pudendal nerve. Patients were included in the cohort if they had a diagnosis of PGAD. All patients were assessed for demographic and clinical differences. Comparison between the pre-operative and postoperative groups was performed with descriptive statistics.
Main Outcome Measures: The changes in clitoral symptoms (arousal, numbness, pain) evaluated post-operatively.
Results: Of the 8 women included in this study, 7 were followed more than 24 weeks since surgery. Six of these women had the surgery bilaterally, and each of these had an excellent result (100%), meaning elimination of the arousal symptoms, pain, and the ability to resume normal sexual intercourse. The patient with unilateral decompression of the dorsal branch of the pudendal nerve had some improvement in arousal symptoms. This patient was the only reported case of symptom persistence.
Clinical Implications: Provides a new treatment approach for patients with PGAD.
Strength & Limitations: The main strength of the study is that this is the first article to report treatment of PGAD with neurolysis of the dorsal branch of the pudendal nerve. The main limitations of the study are the sample size and analysis of retrospectively collected data.
Conclusion: The relief of arousal symptoms supports the hypothesis that PGAD is due to a minimal degree of compression of the dorsal branch of the pudendal nerve.
Embargo Period
5-28-2019
Persistent Genital Arousal Disorder (PGAD): Treatment by Neurolysis of Dorsal Branch of Pudendal Nerve
Philadelphia, PA
Introduction: Persistent genital arousal disorder (PGAD) is the female perception that they are in a state of sexual arousal, without the ability of the arousal to be satisfied by orgasm.
Aims: It is the hypothesis of this study that PGAD results from a minimal degree of nerve compression of the dorsal branch of the pudendal nerve. If this hypothesis were true, then PGAD could be treated by neurolysis of the dorsal branch of the pudendal nerve.
Methods: A retrospective chart review was carried out from 2010 through 2018, of those women having neurolysis of the dorsal branch of the pudendal nerve. Patients were included in the cohort if they had a diagnosis of PGAD. All patients were assessed for demographic and clinical differences. Comparison between the pre-operative and postoperative groups was performed with descriptive statistics.
Main Outcome Measures: The changes in clitoral symptoms (arousal, numbness, pain) evaluated post-operatively.
Results: Of the 8 women included in this study, 7 were followed more than 24 weeks since surgery. Six of these women had the surgery bilaterally, and each of these had an excellent result (100%), meaning elimination of the arousal symptoms, pain, and the ability to resume normal sexual intercourse. The patient with unilateral decompression of the dorsal branch of the pudendal nerve had some improvement in arousal symptoms. This patient was the only reported case of symptom persistence.
Clinical Implications: Provides a new treatment approach for patients with PGAD.
Strength & Limitations: The main strength of the study is that this is the first article to report treatment of PGAD with neurolysis of the dorsal branch of the pudendal nerve. The main limitations of the study are the sample size and analysis of retrospectively collected data.
Conclusion: The relief of arousal symptoms supports the hypothesis that PGAD is due to a minimal degree of compression of the dorsal branch of the pudendal nerve.