Surgical decompression of the pudendal nerve is in it’s very early stages and only a few surgeons in the world even attempt it.
As horrendously life-altering as my current symptoms are I wouldn’t want to be a guinea pig for some trailblazing surgery. Would you? Imagine the feeling of going under knowing someone’s going to take a knife to such a complicated area?
The really complicated nerve compression surgeries for the pudendal nerve are if the nerve is entrapped somewhere like the alcock canal. I agree with you completely that this type of decompression surgery is not worth the risk. However, if our problem is at the base of the penis the pudendal nerve should be easily accessible and hopefully can be decompressed.