Abstract：
BACKGROUND: Persistent genital arousal disorder (PGAD) is a condition characterized by unwanted and potentially painful genital sensations or spontaneous orgasms without stimulation. We present a case of a 55-year-old woman with refractory genital arousal disorder that was treated with serial pudendal nerve blocks.
METHODS: RW is a 55-year-old woman with chronic pelvic pain, pudendal neuralgia, MDD, SI, GAD, CRPS, and persistent genital arousal disorder for 11 years. Her PGAD was refractory to conservative management, physical therapy, and bilateral clitoral artery embolization. We performed bilateral pudendal nerve blocks with Kenalog and Bupivacaine, which provided almost complete relief for 2-3 months. We performed a bilateral pudendal nerve radiofrequency ablation; however, there was minimal benefit. RW continues to have significant relief with serial pudendal nerve blocks.
CONCLUSIONS: Persistent genital arousal disorder is often refractory to medication and physical therapy requiring significant intervention such as entrapment surgery or artery embolization. Our case demonstrates pudendal nerve blocks as a potential treatment modality with minimal side effects.
METHODS: RW is a 55-year-old woman with chronic pelvic pain, pudendal neuralgia, MDD, SI, GAD, CRPS, and persistent genital arousal disorder for 11 years. Her PGAD was refractory to conservative management, physical therapy, and bilateral clitoral artery embolization. We performed bilateral pudendal nerve blocks with Kenalog and Bupivacaine, which provided almost complete relief for 2-3 months. We performed a bilateral pudendal nerve radiofrequency ablation; however, there was minimal benefit. RW continues to have significant relief with serial pudendal nerve blocks.
CONCLUSIONS: Persistent genital arousal disorder is often refractory to medication and physical therapy requiring significant intervention such as entrapment surgery or artery embolization. Our case demonstrates pudendal nerve blocks as a potential treatment modality with minimal side effects.
摘要：
背景：持续性生殖器唤醒障碍（PGAD）是一种以不希望的和潜在的疼痛生殖器感觉或无刺激的自发性高潮为特征的疾病。我们介绍了一例55岁的女性，患有难治性生殖器唤醒障碍，并接受了连续阴部神经阻滞治疗。
方法：RW是一名55岁的女性，患有慢性盆腔疼痛，阴部神经痛,MDD,SI,GAD,CRPS,和持续11年的生殖器唤醒障碍。她的PGAD难以接受保守的管理，物理治疗,双侧阴蒂动脉栓塞术。我们用Kenalog和布比卡因进行双侧阴部神经阻滞，这提供了2-3个月几乎完全的救济。我们进行了双侧阴部神经射频消融；然而，好处微乎其微。RW通过连续阴部神经阻滞继续具有显著缓解。
结论：持续的生殖器觉醒障碍通常难以治疗药物和物理治疗，需要大量干预，如卡压手术或动脉栓塞。我们的病例证明阴部神经阻滞是一种潜在的治疗方式，副作用最小。
方法：RW是一名55岁的女性，患有慢性盆腔疼痛，阴部神经痛,MDD,SI,GAD,CRPS,和持续11年的生殖器唤醒障碍。她的PGAD难以接受保守的管理，物理治疗,双侧阴蒂动脉栓塞术。我们用Kenalog和布比卡因进行双侧阴部神经阻滞，这提供了2-3个月几乎完全的救济。我们进行了双侧阴部神经射频消融；然而，好处微乎其微。RW通过连续阴部神经阻滞继续具有显著缓解。
结论：持续的生殖器觉醒障碍通常难以治疗药物和物理治疗，需要大量干预，如卡压手术或动脉栓塞。我们的病例证明阴部神经阻滞是一种潜在的治疗方式，副作用最小。
