Verification of the anatomy and newly discovered histology of the G-spot complex

BJOG: An International Journal of Obstetrics & Gynaecology 2014;121
Early View (Online Version of Record published before inclusion in an issue)
Article first published online: 19 MAR 2014
DOI: 10.1111/1471-0528.12707

A Ostrzenski [1], P Krajewski [2], P Ganjei-Azar [3], AJ Wasiutynski [4], MN Scheinberg [5], S Tarka [2] and M Fudalej [2]

1 Institute of Gynecology Inc., 7001 Central Avenue, St Petersburg, FL 33710, USA
2 The Department of Forensic Medicine, Warsaw Medical University, Warsaw, Poland
3 The Department of Pathology, University of Miami, FL, USA
4 The Department of Pathomorphology, Warsaw Medical University, Warsaw, Poland
5 Center for Cosmetic & Reconstructive Gynecology, Deerfield Beach, FL, USA

Objectives

To expand the anatomical investigations of the G-spot and to assess the G-spot's characteristic histological and immunohistochemical features.

Design

An observational study.

Setting

International multicentre.

Population

Eight consecutive fresh human female cadavers.

Methods

Anterior vaginal wall dissections were executed and G-spot microdissections were performed. All specimens were stained with haematoxylin and eosin (H&E). The tissues of two women were selected at random for immunohistochemical staining.

Main outcome measures

The primary outcome measure was to document the anatomy of the G-spot. The secondary outcome measures were to identify the histology of the G-spot and to determine whether histological samples stained with H&E are sufficient to identify the G-spot.

Results

The anatomical existence of the G-spot was identified in all women and was in a diagonal plane. In seven (87.5%) and one (12.5%) of the women the G-spot complex was found on the left or right side, respectively. The G-spot was intimately fused with vessels, creating a complex. A large tangled vein-like vascular structure resembled an arteriovenous malformation and there were a few smaller feeding arteries. A band-like structure protruded from the tail of the G-spot. The size of the G-spot varied. Histologically, the G-spot 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-like vessels and smaller feeding arteries. Circular and longitudinal muscles covered the G-complex.

Conclusion

The anatomy of the G-spot complex was confirmed. The histology of the G-spot presents as neurovascular tissues with a nerve ganglion. H&E staining is sufficient for the identification of the G-spot complex.

This study was presented during the plenary session at the XX FIGO World Congress of Gynecology and Obstetrics, Rome, Italy, October 2012

http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.12707/abstract