Thabet Saeed Mohamad Ahmad
Professor of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt.
J Obstet Gynaecol Res. 2009 Oct;35(5):967-73. doi: 10.1111/j.1447-0756.2009.01020.x.
To clarify the reality of the G-spot anatomically, functionally and histologically, and to determine the possible effect of female circumcision and anterior vaginal wall surgery on the integrity and function of the G-spot.
A controlled descriptive and comparative cohort prospective study was conducted at Kasr El Aini School of Medicine, Cairo University, Cairo, Egypt, of 50 uncircumcised and 125 circumcised women with small to moderate anterior vaginal wall descent. Preoperative sexual examination was performed to map the site of the G-spot and other anatomical landmarks on the anterior vaginal wall and to verify the associated circumcision state. Pre- and postoperative sexual assessment and histological examination of different mapped sites in the anterior vagina were also conducted.
Histological findings, results of the anatomical and sexual mapping of the anterior vaginal wall and sexual scores were recorded. The G-spot was proved functionally in 144 (82.3%) of women and anatomically in 95 (65.9%). The latter appeared as two small flaccid balloon-like masses on either side of the lower third of the urethra and were named 'the sexual bodies of the G-spot'. These bodies were significantly detected in all histo-positive cases in the circumcised women and in the uncircumcised women who had small or average clitorises. The G-spot was also proved histologically in 47.4% of all cases and was formed of epithelial, glandular and erectile tissue. Sex scores were significantly higher in the histo-positive cases with sexual bodies but significantly dropped after anterior vaginal wall surgery. In contrast, female circumcision rarely alters the scores.
The G-spot is functional reality in 82.3% of women, an anatomical reality in 54.3% and a histological reality in 47.4%. Anterior vaginal wall surgery usually affects the G-spot and female sexuality, but female circumcision rarely affects them.
从解剖学、功能学和组织学角度阐明G点的实际情况，并确定女性割礼和阴道前壁手术对G点完整性和功能的可能影响。
在埃及开罗开罗大学艾因夏姆斯医学院进行了一项对照描述性和比较性队列前瞻性研究，研究对象为50名未行割礼和125名行割礼的有轻度至中度阴道前壁脱垂的女性。术前进行性检查，以确定G点及阴道前壁其他解剖标志的位置，并核实相关的割礼状态。还对阴道前壁不同标记部位进行了术前和术后性评估及组织学检查。
记录了组织学检查结果、阴道前壁解剖和性定位结果以及性评分。144名（82.3%）女性的G点在功能上得到证实，95名（65.9%）在解剖学上得到证实。后者表现为尿道下三分之一两侧的两个小的松弛的气球样肿块，被命名为“G点的性体”。在所有行割礼女性及阴蒂小或中等大小的未行割礼女性的组织学阳性病例中均显著检测到这些性体。在所有病例中，47.4%的G点在组织学上也得到证实，其由上皮组织、腺组织和勃起组织构成。有性体的组织学阳性病例的性评分显著更高，但在阴道前壁手术后显著下降。相比之下，女性割礼很少改变评分。
G点在82.3%的女性中是功能上的实际存在，在54.3%中是解剖学上的实际存在，在47.4%中是组织学上的实际存在。阴道前壁手术通常会影响G点和女性性功能，但女性割礼很少对其产生影响。
