{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T07:49:37Z","timestamp":1768981777229,"version":"3.49.0"},"reference-count":16,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,6,26]],"date-time":"2013-06-26T00:00:00Z","timestamp":1372204800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to extend the clinicohistological study to involve the whole normal and absent vagina for confirming the presence of the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot and its relation to the surrounding organs and sexuality and to identify certain precautions for its preservation during surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>This study was a descriptive randomized prospective study conducted at <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>asr <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>l <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ini <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>chool of <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>edicine, <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>airo <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>niversity, <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>gypt. The <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot was examined in 1500 women, 500 of them having vaginal and vulval surgery done for gynecological reasons. The <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot was examined for its clinical and histological features and for determining the effect of surgery on its state and function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot was found to be present in all women. It was a localized spot in 58% and diffuse in 42% of cases. Associated ejaculation was reported in all cases of the localized type and in 24.5% of the diffuse types. Clinical examination was found to be associated with certain local response in 52.7% of the local types. The <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot was also found to be connected to the hymen in 100%, the urethra in 52.7%, the vulva in 82.2% and the cervix in 10.8% of cases. The mean of the sex scores and sexuality were significantly decreased in surgery involving the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot area. Recorded figures were 93.6\u2009\u00b1\u20093.4 and 88.2\u2009\u00b1\u20093.3 before and after surgery, respectively. The corresponding figures in the cases having a general spot were 86.4\u2009\u00b1\u20094.4 and 84.5\u2009\u00b1\u20092.4, respectively. The <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot was found in cases of absent vagina to be localized in 59%, generalized in 28.2% and absent in 12.8% of cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot is actually present in all women. It is originally related to the lower urinary tract and it is connected to different parts of the genital tract. It may be localized or generalized. Its integrity is essential for obtaining normal physiological sexuality. Surgery may affect the integrity of the <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\u2010spot, so surgical precautions must be carried out to maintain the integrity of this spot and the patient's sexuality.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12067","type":"journal-article","created":{"date-parts":[[2013,6,26]],"date-time":"2013-06-26T08:53:11Z","timestamp":1372236791000},"page":"1339-1346","source":"Crossref","is-referenced-by-count":10,"title":["New findings and concepts about the <scp>G<\/scp>\u2010spot in normal and absent vagina: Precautions possibly needed for preservation of the <scp>G<\/scp>\u2010spot and sexuality during surgery"],"prefix":"10.1111","volume":"39","author":[{"given":"Saeed Mohamad Ahmad","family":"Thabet","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,6,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/00926238308405831"},{"key":"e_1_2_6_3_1","first-page":"236","volume-title":"The G Spot: And Other Discoveries about Human Sexuality","author":"Ladas AK","year":"1982"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224498109551094"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224498109551095"},{"key":"e_1_2_6_6_1","first-page":"1","article-title":"Reality of the G\u2010spot and its relation to female circumcision and vaginal surgery","volume":"80","author":"Thabet SMA","year":"2009","journal-title":"J Obstet Gynecol Res"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2011.02623.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2002.125883"},{"key":"e_1_2_6_9_1","volume-title":"The Naked Woman: A Study of the Female Body, the Clitoris, A\u2010Spot, G\u2010Spot and U\u2010Spot","author":"Morris D","year":"2004"},{"key":"e_1_2_6_10_1","first-page":"70","article-title":"Anterior fornix erogenous zone","volume":"12","author":"Ann CC","year":"1997","journal-title":"J Br Assoc Sex Marital Ther"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1341-8076.2003.00065.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340701778922"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.115995"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.2307\/3177536"},{"key":"e_1_2_6_15_1","unstructured":"PerryJD.1996.\u2018Revised by the author\u2019: a side\u2010by\u2010side comparison of two versions of \u2018the role of urethra in female orgasm\u2019 by Gr\u00e4fenberg E Inter J Sex1950;3(3): 145\u2013148. \u2013 Editing and commentary.Published by John D. 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