Thabet Saeed Mohamad Ahmad
Department of Obstetrics & Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt.
J Obstet Gynaecol Res. 2013 Aug;39(8):1339-46. doi: 10.1111/jog.12067. Epub 2013 Jun 26.
The aim of this study was to extend the clinicohistological study to involve the whole normal and absent vagina for confirming the presence of the G-spot and its relation to the surrounding organs and sexuality and to identify certain precautions for its preservation during surgery.
This study was a descriptive randomized prospective study conducted at Kasr El Aini School of Medicine, Cairo University, Egypt. The G-spot was examined in 1500 women, 500 of them having vaginal and vulval surgery done for gynecological reasons. The G-spot was examined for its clinical and histological features and for determining the effect of surgery on its state and function.
The G-spot was found to be present in all women. It was a localized spot in 58% and diffuse in 42% of cases. Associated ejaculation was reported in all cases of the localized type and in 24.5% of the diffuse types. Clinical examination was found to be associated with certain local response in 52.7% of the local types. The G-spot was also found to be connected to the hymen in 100%, the urethra in 52.7%, the vulva in 82.2% and the cervix in 10.8% of cases. The mean of the sex scores and sexuality were significantly decreased in surgery involving the G-spot area. Recorded figures were 93.6 ± 3.4 and 88.2 ± 3.3 before and after surgery, respectively. The corresponding figures in the cases having a general spot were 86.4 ± 4.4 and 84.5 ± 2.4, respectively. The G-spot was found in cases of absent vagina to be localized in 59%, generalized in 28.2% and absent in 12.8% of cases.
The G-spot is actually present in all women. It is originally related to the lower urinary tract and it is connected to different parts of the genital tract. It may be localized or generalized. Its integrity is essential for obtaining normal physiological sexuality. Surgery may affect the integrity of the G-spot, so surgical precautions must be carried out to maintain the integrity of this spot and the patient's sexuality.
本研究旨在扩展临床组织学研究，涵盖整个正常及缺失的阴道，以确认G点的存在及其与周围器官、性功能的关系，并确定手术过程中对其进行保护的某些预防措施。
本研究是一项描述性随机前瞻性研究，在埃及开罗大学艾因夏姆斯医学院开展。对1500名女性进行了G点检查，其中500名因妇科原因接受了阴道和外阴手术。对G点的临床和组织学特征进行了检查，并确定手术对其状态和功能的影响。
发现所有女性均存在G点。58%的病例中G点为局限性，42%为弥漫性。在所有局限性G点病例及24.5%的弥漫性G点病例中均报告有相关射精现象。52.7%的局限性G点病例中，临床检查发现有一定的局部反应。还发现G点在100%的病例中与处女膜相连，52.7%与尿道相连，82.2%与外阴相连，10.8%与宫颈相连。涉及G点区域的手术中，性评分和性功能的平均值显著降低。手术前后记录的数字分别为93.6±3.4和88.2±3.3。有普通性敏感点的病例中，相应数字分别为86.4±4.4和84.5±2.4。在阴道缺失的病例中，59%的G点为局限性，28.2%为广泛性，12.8%不存在。
实际上所有女性均存在G点。它最初与下尿路相关，且与生殖道的不同部位相连。它可能是局限性的或广泛性的。其完整性对于获得正常的生理性性功能至关重要。手术可能会影响G点的完整性，因此必须采取手术预防措施以维持该部位的完整性及患者性功能。
