Conventional Versus High-Voltage Long-Duration Pulsed Radiofrequency of the Pudendal Nerve

This study is comparing two types of pulsed radiofrequency (PRF) treatments delivered to a nerve called the pudendal nerve for people with chronic pudendal neuralgia — a painful condition causing burning or aching pain in the pelvic area, including around the genitals, perineum, and rectum. Researchers want to see if a higher-voltage, longer-duration version of PRF provides better pain relief than the standard version. **You may be eligible if:** - You are 18 years or older - You have been diagnosed with pudendal neuralgia according to established criteria - Your pain has not improved with conservative treatments (medications, physical therapy, etc.) - You are followed at a pain medicine clinic - You are either not on neuropathic pain medications or have been on a stable dose for at least 3 months **You may NOT be eligible if:** - You have a pelvic organ condition that explains your pain (such as a tumor) - Your pain only affects the buttocks, tailbone, or lower abdomen - You have a pacemaker or other implanted electrical device - You are on blood thinners or have a clotting disorder that cannot be corrected - You have had previous surgery that altered the pudendal nerve anatomy - You are pregnant or may be pregnant - You have a history of cancer or autoimmune disease Talk to your doctor to see if this trial is right for you.