004 Neurogenic Persistent Genital Arousal Disorder (PGAD) Secondary to Radiculopathy of Sacral Spinal Nerve Roots (SSNR): Treatment Outcomes Following Minimally Invasive Spine Surgery (MISS)

Persistent genital arousal disorder (PGAD) is characterized by at least 6 months of persistent or recurrent, unwanted or intrusive, distressing feelings of genital arousal or being on the verge of orgasm (genital dysesthesia), not associated with concomitant sexual interest, thoughts, or fantasies. PGAD has significant morbidity and is one of the most common causes for suicide in the field of sexual medicine. In most cases, the underlying pathophysiology of PGAD has remained elusive and the primary focus of management has been multi-disciplinary symptom amelioration. Individual care reports, however, have recently identified that radiculitis of the sacral spinal nerve roots in the cauda equina from lumbar spine pathology can cause PGAD and that minimally invasive spinal surgery (MISS) can reverse/cure this form of PGAD. This is the first-ever long-term MISS treatment outcome study in PGAD patients with suspected radiculitis of sacral spinal nerve roots from lumbar spine abnormalities.