I appreciate some of the offline counsel i received on going through with this procedure. Time will tell, but clearly there’s a greater risk to doing a procedure to a motor and sensory nerve like the pudendal than a purely sensory nerve like the GF. I went ahead nonetheless. My read, however, and consult with Dr. Attaman in Seattle, is that pulsed RF isn’t truly ablation as in the conventional sense of RF or cryo-ablation. That could be splitting hairs by its proponents, of course, but my doc and Dr. Attaman (a pudendal guru) both state that they would never use conventional RF or cryo on the pudendal, only pulsed.
All in all, the procedure is no big deal. It took longer than past injections because (a) it was bilateral and (b) it’s a slower process as the machine pulses at fixed intervals. It’s delivered into a fatty area of the butt check so, as you can imagine, I was on my stomach. If you’ve ever gotten a shot in your ass, that’s how it feels, and that achy feeling in both ass cheeks lingered for about 8 hours. We’ve all experienced WAY worse.
They gave me only half the sedation as with anesthetic and steroidal pain injections. Not sure why, but my gage is that the anesthetic and steroidal injections hurt more due to the injection of fluid. I think I was in recovery for 15 minutes.
The doc did this under some imaging guidance though I’m not sure if it was CT, fluoroscopy, etc.
My perineal and pudendal canal pain is down today I think from the anesthetic injected or just the general sedation. Plus, I laid low today. They say it takes 2-4 weeks for the lesions to form that block the pain sensations, so time will tell.
Once again, i have to give props to the Cleveland Clinic. My hometown Browns may suck more than any NFL team in history, but I was able to get a procedure done 4 miles from my house at the CC that many on the Pudendal Hope forum travel hundreds or thousands of miles to get.