The G-spot: A modern gynecologic myth

Hines, Terence

doi:10.1067/mob.2001.115995

Cited by 90 publications

(58 citation statements)

References 14 publications

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“…The ''G-spot'' on the anterior vaginal wall is a supersensitive area for some women. The exact site differs among women [22]. Because sensitivity of the anterior vaginal wall may be altered by the creation of scars in this area, sexual function also may be altered.…”

Section: Discussionmentioning

confidence: 99%

Sexual function after sacrospinous fixation for vaginal vault prolapse: bad or mad?

et al. 2008

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Background The main indication for sacrospinous ligament suspension is to correct either total procidentia, a posthysterectomy vaginal vault prolapse with an associated weak cardinal uterosacral ligament complex, or a posthysterectomy enterocele. This study aimed to evaluate sexual function and anatomic outcome for patients after sacrospinous ligament suspension. Methods For this study, 52 patients who had undergone sacrospinous ligament fixation during the preceding 5 years were asked to complete the Female Sexual Function Index (FSFI) questionnaire. The patients were vaginally examined using the ICS POP score, and the results were compared with their preoperative status. For statistical analysis, GraphPad for Windows, version 4.0, was used. Results The 52 patients were examined during a followup period of 38 months. No major intraoperative complications were noted. Recurrence of symptomatic apical descent was noted in 6% of the patients and de novo prolapse in 13.5%. Only one patient was symptomatic. Three patients experienced de novo dyspareunia, which resolved in two cases after stitch removal. Sexual function was good, rating higher than three points for each of the domains including satisfaction, lubrication, desire, orgasm, and pain. Conclusion Sacrospinous ligament fixation still is a valuable option for the treatment of vaginal vault prolapse.Sexual function is satisfactory, with few cases of de novo dyspareunia.

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Section: Discussionmentioning

confidence: 99%

Sexual function after sacrospinous fixation for vaginal vault prolapse: bad or mad?

et al. 2008

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“…The ''Gspot'' is a supersensitive area for some women on the anterior vaginal wall, the exact site differing among women [2]. Because of the site of insertion of the permanent tension free vaginal tape (TVT) the G spot might be affected or the tape might be felt by the male partner and might interfere with arousal and sensory stimulation.impairment after TVT insertion ranging from 0% to 15%, including dyspareunia and loss of libido [3][4][5].…”

Section: Abstract Gynaecology and Obstetricsmentioning

confidence: 99%

Sexual function after suburethral sling removal for dyspareunia

et al. 2008

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Introduction Impact on sexual function has received little attention in the medical literature for a long time. Because of the site of insertion of permanent tension free vaginal tape (TVT) the G spot might be affected or the tape might interfere with arousal and sensory stimulation. Recent studies have reported varying degrees of sexual impairment after TVT insertion ranging from 0% to 15% including dyspareunia. Aim The aim of this study was to evaluate sexual function before and after suburethral sling removal due to postoperative female de novo dyspareunia. As a secondary outcome, general patients' satisfaction with their overall continence situation was assessed. Patients and methods Between December 2005 and December 2007, we included 18 female patients who complained of de novo dyspareunia after suburethral sling insertion for urinary stress incontinence. All patients filled in an FSFI questionnaire prior to sling removal and at 3 months postoperatively. Additionally, all women were asked to estimate their general satisfaction regarding their continence situation using a Visual Analogue Scale (VAS) from 0 to 10, with 0 being the least satisfying situation and 10 being the most satisfying situation. All patients underwent gynaecological examination including ICS-pelvic organ prolapse staging (ICS-POP score).Results Of the 18 slings, ten were transobturator tapes (6 9 TVT-O, 2 9 Monarch, 2 9 unknown) and eight were retropubic tapes (7 9 TVT, 1 9 SPARC). Desire, arousal, lubrication, satisfaction, and pain improved statistically significant. Orgasm scores were low with median scoring of 1.5 scores before and 1.0 scores after sling removal, and they did not change significantly after sling removal. The satisfaction rate deteriorated from a median of 7 (95% confidence interval [CI] 6.3-7.7) to a median of 4 (95% CI 3.7-5.1; p = 0.99) but not statistically significant. Conclusions Sexual function in patients with de novo dyspareuina is likely to improve after sling removal but not in all domains. Bladder function may deteriorate.

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“…The region of the anterior wall of the vagina overlying the midurethra has been identified as the Grafenberg spot (or "G-spot"), an area that in some women is particularly sensitive to tactile stimulation. Numerous anatomical studies of the area have not identified gross or histological findings to distinguish it from other parts of the urethra or vaginal wall [6].…”

Section: Urethramentioning

confidence: 99%