Sivaslıoğlu Ahmet Akın, Köseoğlu Sezen, Dinç Elibol Funda, Dere Yelda, Keçe Ayavar Cem, Çalışkan Eray
Muğla Sıtkı Koçman University Faculty of Medicine, Deparment of Obstetrics and Gynecology, Muğla, Turkey.
Associate Professor, Private, Muğla, Turkey.
Turk J Obstet Gynecol. 2021 Mar 12;18(1):1-6. doi: 10.4274/tjod.galenos.2021.31697.
There is a growing debate on the existence of the G-spot. G-spot amplification by various surgical interventions has become mainstream for esthetic vaginal surgery despite a lack of conclusive proof of the G-spot. The aim of this study was to search for histologic evidence in regions of so-called hyperintense focus (HF) (considered as the G-spot) using magnetic resonance imaging (MRI) mapping and biopsied tissues.
Fifteen patients who had grade 2 or higher anterior compartment defects were enrolled in the study. All patients were subjected to MRI. When a HF was seen, its localization, dimensions, and distances to adjacent structures were measured in images. Dissections in the anterior vaginal wall were performed in accordance with the measurements derived from MRI and tissue measuring 0.5x0.5 cm was biopsied from the determined HF.
An HF was determined in MRI of three (20%) patients. However, no significant neurovascular tissue density was observed histologically in any of the biopsy specimens obtained from the surgical dissections under the guidance of MRI mapping.
Our findings denote that there is no G-spot in the anterior vaginal wall.
关于G点是否存在的争论日益激烈。尽管缺乏G点的确凿证据，但通过各种手术干预进行G点增大已成为美容阴道手术的主流。本研究的目的是利用磁共振成像（MRI）定位和活检组织，在所谓的高强度聚焦区（HF）（被认为是G点）寻找组织学证据。
15例患有2级或更高级别前盆腔缺陷的患者纳入本研究。所有患者均接受MRI检查。当观察到HF时，在图像中测量其位置、尺寸以及与相邻结构的距离。根据MRI得出的测量结果在前阴道壁进行解剖，并从确定的HF处取0.5×0.5 cm的组织进行活检。
在3例（20%）患者的MRI检查中确定了HF。然而，在MRI定位引导下手术切除获得的任何活检标本中，组织学上均未观察到明显的神经血管组织密度。
我们的研究结果表明，前阴道壁不存在G点。
