Abstract
In 2012 Komisaruk reported that women with persistent genital arousal disorder could have a neurologic pathophysiology within the cauda equina. Expanding upon on that concept, we hypothesized that women with broader versions of genito-pelvic dysesthesias (GPD), including unwanted distressing arousal, pain and/or itch, could have their pathophysiology based on sacral spinal nerve roots radiculopathy. To more effectively manage such patients, a robust collaboration among sexual medicine, spine surgery and neurophysiology disciplines was established in 2015.
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