We have been using PDSL (Partial Discharge Site Location) testing as a method to help direct maintenance on our MV underground distribution cables. We haven't used it too much for switchgear diagnostics, though (because to some extent, we expect to find PD in air-insulated gear when testing above rated voltage).
Our distribution voltages are 34.5kV and 12.47kV (phase-to-phase), and we have had similar results at both voltages, although there are some additional challenges at 34.5kV.
Initially, we started to use PDSL as a means of determining the health and remaining life of our cables. We started to discover, though, that if we found any discharge generated from electrical trees in the cable insulation, we did not have much time left before the cable failed (this is specific to XLPE insulation, incidentally). Typically, the remaining life of an XLPE cable with discernible PD is in the realm of a few hours to a few days, depending on the partial discharge inception voltage (PDIV) of the defect and the frequency of transients in the ditribution system that are likely to exceed the PDIV.
My next statement is probably somewhat unique to our particular distribution system, but we have found that the majority of our problems are not in the cable, but in the accessories used to put them together (splices, terminations, elbows, etc.). Our normal failure statistics indicate a ratio of roughly 4:1 for accessories to cable. PD testing revealed a ratio of "hits" in accesories to cable much higher than that, but I suspect that is because we are intentionally testing at 1.5-2.0 PU.
We haven't made any drastic decisions to pull everything out that discharges, though. This is because the splices and accessories we are using are a little more discharge-tolerant than XLPE cable. In several instances (mostly dependent on the customer being served) we have removed some "suspect" items from service and gone through forensic analysis. In almost all of these cases, we have found workmanship errors that were the cause of the PD in the accessories, so we feel that PDSL is at least validated in that respect.
As far as the different technologies used to accomplish diagnostic testing, we have not yet settled on PD alone as the answer. I tend to believe that we will end up using a combination of PD, tangent delta, and assessment of the condition of the concentric neutrals as a measure of the health of our distribution system.