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Title of Journal: Int Urogynecol J

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Abbravation: International Urogynecology Journal

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Springer-Verlag

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10.1002/pits.20310

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1433-3023

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Reply to The Gräfenberg spot Gspot does not ex

Authors: Peter L Dwyer
Publish Date: 2011/10/14
Volume: 23, Issue: 2, Pages: 249-249
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Abstract

I thought that using the G word in the title of my editorial “Skene’s gland function dysfunction and the G spot” might increase interest and invite controversy 1 Therefore I thank Dr Puppo for his letter and his opinions 2 Sexual function is of great interest to us all both personally and professionally However there are many areas of sexual function and dysfunction that are not well understood and therefore open to debate The anatomy of the clitoris however is not one of these areas and has been recently well described by O’Connell and DeLancey from cadaver and MRI studies I quote “The bulbs body and crura formed an erectile tissue cluster namely the clitoris In turn the clitoris partially surrounded the urethra and vagina forming a consistently observed tissue complex” 3 4Dr Puppo correctly states that the “Gspot is not a term used in human anatomy” The existence of the G spot and the role of Skene’s glands in sexual function is another highly debated issue for which I do not profess to have answers but I hope that discussing this issue may stimulate more research Dr Puppo may argue that the G spot does not exist but the majority of women in the Western world do believe that there is a highly sensitive area which if stimulated can also lead to increased sexual excitement lubrication and orgasm 5 They presumably base their opinion on what they have read and on their own personal experiences In my editorial I did not argue for the existence of the G spot perhaps it is situated not in the anterior vaginal wall or Skene’s gland but higher in the central nervous system


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  5. Assessment of TVT efficacy in the management of patients with genuine stress incontinence with the use of epidural vs intravenous anesthesia
  6. TVT: On Midurethral Tape Positioning and its Influence on Continence
  7. Duloxetine 1 year on: the long-term outcome of a cohort of women prescribed duloxetine
  8. Single incision mini-sling versus a transobutaror sling: a comparative study on MiniArc™ and Monarc™ slings
  9. Office Assessment of Patient Outcome of Pharmacologic Therapy for Urge Incontinence
  10. Laser welding of vesicovaginal fistula—outcome analysis and long-term outcome: single-centre experience
  11. Outcomes and follow-up after obstetric anal sphincter injuries
  12. Laparoscopic sacral colpoperineopexy: abdominal versus abdominal–vaginal posterior graft attachment
  13. Intrasphincteric injections of autologous muscular cells in women with refractory stress urinary incontinence: a prospective study
  14. Prospective evaluation of outcome of vaginal pessaries versus surgery in women with symptomatic pelvic organ prolapse
  15. Urinary nerve growth factor correlates with the severity of urgency and pain
  16. Related factors of urge, stress, mixed urinary incontinence and overactive bladder in reproductive age womenin Tabriz, Iran : a cross-sectional study
  17. Recurrent pelvic organ prolapse in a woman with bladder exstrophy: a case report of surgical management and review of the literature
  18. The impact of simulated birth trauma and ovariectomy on the gene expression of detrusor muscarinic receptors in female rats
  19. Classification of mesh fiber exposure: comment
  20. The clinical characteristics of female patients with Fournier’s gangrene
  21. Large vesicovaginal fistula in women with pelvic organ prolapse: the role of colpocleisis revisited
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  25. Important Clinical Outcomes in Urogynecology: Views of Patients, Nurses and Medical Staff
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  27. Incontinence medication response relates to the female urinary microbiota
  28. Short-term natural history in women with symptoms indicative of pelvic organ prolapse
  29. Mixed urinary incontinence—time to uncouple urgency from stress?
  30. Polypropylene mesh slings and cancer: An incidental finding or association?
  31. The Role of the Levator Ani Muscle in Evacuation, Sexual Performance and Pelvic Floor Disorders
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