I’ve learned so much here and hope I can contribute, as well.
I want to recommend that those with nerve pain investigate and consider pulsed RF ablation (pRFA)if blocks provide some short-term relief rather than jumping right into denervation.
I had pRFA done to my left GF about 2 months ago and can state that one of my symptoms, scrotal pain along the left cord, remains gone. The pRFA procedure was no big deal, essentially the same as a block, and much less invasive than a surgery like denervation or reversal. Not riskless, of course, but our group knows about balancing risk and reward.
The pRFA results have also helped my doc and me conclude that I have another pain source, perhaps the primary culprit in the pudendal nerve because the severe left perineal pain remains.
I’ve been reading a lot on the web that pRFA is safer than conventional RFA and cryoablation though the results aren’t as durable. To me, this lower risk profile translates to “try this first.” That is just my opinion, not a statement of fact, and I encourage everyone to do their own research. But, why not try a low-heat needle carrying RF pulses before being opened up?
I’m scheduled for pRFA on the pudendal nerve on January 2nd and will report results to everyone.