{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T06:35:04Z","timestamp":1776321304229,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,3,19]],"date-time":"2014-03-19T00:00:00Z","timestamp":1395187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To expand the anatomical investigations of the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot and to assess the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot's characteristic histological and immunohistochemical features.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>An observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>International multicentre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Eight consecutive fresh human female cadavers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Anterior vaginal wall dissections were executed and <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot microdissections were performed. All specimens were stained with haematoxylin and eosin (<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>&amp;<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>). The tissues of two women were selected at random for immunohistochemical staining.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The primary outcome measure was to document the anatomy of the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot. The secondary outcome measures were to identify the histology of the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot and to determine whether histological samples stained with <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>&amp;<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> are sufficient to identify the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The anatomical existence of the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot was identified in all women and was in a diagonal plane. In seven (87.5%) and one (12.5%) of the women the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot complex was found on the left or right side, respectively. The <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot was intimately fused with vessels, creating a complex. A large tangled vein\u2010like vascular structure resembled an arteriovenous malformation and there were a few smaller feeding arteries. A band\u2010like structure protruded from the tail of the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot. The size of the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot varied. Histologically, the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot was determined as a neurovascular complex structure. The neural component contained abundant peripheral nerve bundles and a nerve ganglion. The vascular component comprised large vein\u2010like vessels and smaller feeding arteries. Circular and longitudinal muscles covered the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010complex.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The anatomy of the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot complex was confirmed. The histology of the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot presents as neurovascular tissues with a nerve ganglion. <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>&amp;<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> staining is sufficient for the identification of the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot complex.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12707","type":"journal-article","created":{"date-parts":[[2014,3,19]],"date-time":"2014-03-19T07:21:21Z","timestamp":1395213681000},"page":"1333-1340","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Verification of the anatomy and newly discovered histology of the <scp>G<\/scp>\u2010spot complex"],"prefix":"10.1111","volume":"121","author":[{"given":"A","family":"Ostrzenski","sequence":"first","affiliation":[{"name":"Institute of Gynecology Inc. St Petersburg FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Krajewski","sequence":"additional","affiliation":[{"name":"The Department of Forensic Medicine Warsaw Medical University Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Ganjei\u2010Azar","sequence":"additional","affiliation":[{"name":"The Department of Pathology University of Miami FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AJ","family":"Wasiutynski","sequence":"additional","affiliation":[{"name":"The Department of Pathomorphology Warsaw Medical University Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MN","family":"Scheinberg","sequence":"additional","affiliation":[{"name":"Center for Cosmetic &amp; Reconstructive Gynecology Deerfield Beach FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Tarka","sequence":"additional","affiliation":[{"name":"The Department of Forensic Medicine Warsaw Medical University Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Fudalej","sequence":"additional","affiliation":[{"name":"The Department of Forensic Medicine Warsaw Medical University Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,3,19]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"145","article-title":"The role of the urethra in female orgasm","volume":"3","author":"Gr\u00e4fenberg E","year":"1950","journal-title":"Int J Sexol"},{"key":"e_1_2_7_3_1","volume-title":"Human sexual response","author":"Masters WH","year":"1966"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224498109551094"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224498109551095"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/00926238308405831"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/00926238408405789"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/00926238608415407"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/00926238908403815"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01541824"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-003-0571-0"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2008.04.041"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2012.02668.x"},{"key":"e_1_2_7_14_1","first-page":"134","volume-title":"Colposcopy of the cervix, vagina, and vulva: a comprehensive textbook","author":"Baggish MS","year":"2003"},{"key":"e_1_2_7_15_1","first-page":"513","article-title":"Stolfi VM, Cocchia. Immunohistochemical study of the corpora cavernosa of the human clitoris","volume":"188","author":"Toesca A","year":"1996","journal-title":"J Anat"},{"key":"e_1_2_7_16_1","first-page":"469","article-title":"On the nervous ganglia of the uterus","volume":"1","author":"Lee R","year":"1841","journal-title":"The Lancet"},{"key":"e_1_2_7_17_1","first-page":"191","article-title":"Anatomy of the clitoris","volume":"172","author":"O'Connell HE","year":"2004","journal-title":"J Urol"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2005.05961.x"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2009.01020.x"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2012.02694.x"},{"issue":"2","key":"e_1_2_7_21_1","first-page":"S84","article-title":"Vasculogenic female sexual dysfunction: vaginal engorgement and clitoral erectile insufficiency syndromes","volume":"10","author":"Goldstein I","year":"1998","journal-title":"Int J Impot Res"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3900258"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0b013e328346055a"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00441-006-0233-1"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/jemt.1060100205"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2253011160"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1471-0528.12707","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.12707","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:12:08Z","timestamp":1695571928000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.12707"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,19]]},"references-count":25,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2014,10]]}},"alternative-id":["10.1111\/1471-0528.12707"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.12707","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3,19]]},"assertion":[{"value":"2013-10-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-03-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}