The clinical anatomy of dyspareunia: A review

Alimi, Yusuf; Iwanaga, Joe; Oskouian, Rod J.; Loukas, Marios; Tubbs, R. Shane

doi:10.1002/ca.23250

Cited by 23 publications

(21 citation statements)

References 21 publications

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“…The description of Sunda porcupine placenta with HE staining in thin samples (A3) shows a difference with samples A2 and A1, namely in the A3 sample, the endometrium and myometrium are still seen. According to Alimi et al (2018), the endometrial section shows ciliated columnar epithelium and basal layer of lamina propria. Lamina propria is composed of loose connective tissue, collagen fibers, fibroblasts and lymphocytes that were found between tissues.…”

Section: Resultsmentioning

confidence: 99%

The Placenta Anatomy of Sunda Porcupine (Hystrix javanica)

Budipitojo¹,

Shofiyah²,

Masithoh³

et al. 2020

Adv. Anim. Vet. Sci.

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Sunda porcupines (Hystrix javanica) belongs to the Order of Rodentia is an endemic animal of Indonesia. The aims of this study are to determine the types and histological structure of Sunda porcupine placenta. Data regarding the type and histological structure of Sunda porcupines' placental organs can be used to support the conservation of Sunda porcupines. This research used two samples of placenta Sunda Porcupine from Ngawi, East Java. Placenta were fixed in Bouin's solution for 24 hours. Tissues were processed by using paraffin method and cut in 5 µm thickness. Tissues slide were stained with Hematoxylin Eosin (HE) to identified histological structure of the Sunda porcupine placenta. Photomicrographs were using Optilab Image Viewer. The histological structure of the Sunda porcupine's placenta were analyzed and reported descriptively. Macroscopically, the shape of Sunda Porcupine placenta is flat like a disc. Histologically, the thickest parts of Sunda porcupines placenta consist of chorioallantoic plate, labyrinth zone, trophospongium, decidua, metrial glands, myometrium zone. In conclussion, the placenta of sunda porcupine (Hystrix javanica) has been identified which has a discoid shape and is classified to the hemochorial type.

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Section: Resultsmentioning

confidence: 99%

The Placenta Anatomy of Sunda Porcupine (Hystrix javanica)

Budipitojo¹,

Shofiyah²,

Masithoh³

et al. 2020

Adv. Anim. Vet. Sci.

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“…A complex and intricate anatomy and neurophysiology help explain pathophysiologic aspects of dyspareunia and vulvodynia. In fact, the pudendal nerve, which is made up of somatic branches from the sacral plexus, is the main nervous supply of the vulva (58). In addition, the anatomic course of the pudendal nerve makes it susceptible to surgical and obstetrical trauma, potentially leading to entry dyspareunia and vulvodynia (58).…”

Section: Vestibulodynia -Dyspareuniamentioning

confidence: 99%

“…In fact, the pudendal nerve, which is made up of somatic branches from the sacral plexus, is the main nervous supply of the vulva (58). In addition, the anatomic course of the pudendal nerve makes it susceptible to surgical and obstetrical trauma, potentially leading to entry dyspareunia and vulvodynia (58). It is also proposed that pelvic floor muscle dysfunction is commonly reported in women with vulvodynia.…”

Section: Vestibulodynia -Dyspareuniamentioning

confidence: 99%

Sexual dysfunction due to pudendal neuralgia: a systematic review

Aoun¹,

Alkassis²,

Tayeh³

et al. 2021

Transl Androl Urol

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Background: The pudendal nerve is considered as the main nerve of sexuality. Pudendal neuralgia is an underdiagnosed disease in clinical practice. The aim of this systematic review is to highlight the role of pudendal neuralgia on sexual dysfunction in both sexes.Methods: A PubMed search was performed using the following keywords: "Pudendal" AND "Sexual dysfunction" or "Erectile dysfunction" or "Ejaculation" or "Persistent sexual arousal" or "Dyspareunia" or "Vulvodynia". The search involved patients having sexual dysfunction due to pudendal neuralgia. Treatment received was also reported.Results: Five case series, seven cohort studies, two pilot studies, and three randomized clinical trials were included in this systematic review. Pudendal nerve and/or artery entrapment, or pudendal neuralgia, is a reversible cause of multiple sexual dysfunctions. Interventions such as anesthetic injections, neurolysis, and decompression are reported as potential treatment modalities. There are no studies describing the role of pudendal canal syndrome in the pathophysiology or treatment of delayed ejaculation or penile shortening.Discussion: Pudendal neuralgia is an underestimated yet important cause of persistent genital arousal, erectile dysfunction (ED), premature ejaculation (PE), ejaculation pain, and vulvodynia. Physicians should be aware of this entity and examine the pudendal canal in such patients before concluding an idiopathic cause of sexual dysfunction.

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“…Defecatory disorders with pelvic organ prolapse can be corrected through rectal suspension, rectovaginal enforcement, and rectal wall excision. Dyspareunia can result from surgical approaches to the rectovaginal region (Alimi, Iwanaga, Oskouian, Loukas, & Tubbs, 2018). For CIC, sacral neuromodulation can restore neuromuscular function (73% satisfaction; range: 57-87%) (Wilkinson-Smith et al, 2018).…”

Section: Defecatory Disordermentioning

confidence: 99%

Anatomy, physiology, and updates on the clinical management of constipation

et al. 2020

Self Cite

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Clinical management of constipation has evolved from the prescription of dietary supplements, to potent stimulant laxatives, to corrective surgeries for organic blockage. Yet constipation does not respond to a one-size-fits-all treatment. In recent decades, the Bristol Stool Form Scale and Rome III diagnostic criteria have allowed for algorithmic diagnosis, yet these criteria could benefit from further extension and meaningful discussion. This review incorporates pertinent clinical updates and uses the anatomy and physiology of constipation as helpful signposts for the practicing clinician.

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The clinical anatomy of dyspareunia: A review

Cited by 23 publications

References 21 publications

The Placenta Anatomy of Sunda Porcupine (Hystrix javanica)

The Placenta Anatomy of Sunda Porcupine (Hystrix javanica)

Sexual dysfunction due to pudendal neuralgia: a systematic review

Anatomy, physiology, and updates on the clinical management of constipation

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