Clitoral excision for persistent genital arousal disorder in an elderly patient: a surgical approach to long term symptom relief

This case report aims to highlight the successful surgical management of persistent genital arousal disorder (PGAD) in an elderly patient, emphasizing the role of clitoral excision as an effective treatment modality. We present the case of an 85-year-old woman who experienced PGAD that severely impacted her quality of life. Despite undergoing various medical and psychological treatments, the patient continued to suffer from debilitating symptoms. Following a comprehensive assessment, clitoral excision was performed as a last-resort surgical intervention. Postoperatively, the patient reported significant symptom relief and improved overall well-being. This case underscores the potential of surgical intervention in managing PGAD, particularly in elderly patients where conservative treatments may be ineffective. Further research is needed to explore the long-term outcomes of such surgical approaches and their implications for clinical practice.