Beyond the G-spot: clitourethrovaginal complex anatomy in female orgasm

@article{Jannini2014BeyondTG,
  title={Beyond the G-spot: clitourethrovaginal complex anatomy in female orgasm},
  author={Emmanuele Angelo Jannini and Odile Buisson and Alberto Rubio-Casillas},
  journal={Nature Reviews Urology},
  year={2014},
  volume={11},
  pages={531-538}
}
The search for the legendary, highly erogenous vaginal region, the Gräfenberg spot (G-spot), has produced important data, substantially improving understanding of the complex anatomy and physiology of sexual responses in women. Modern imaging techniques have enabled visualization of dynamic interactions of female genitals during self-sexual stimulation or coitus. Although no single structure consistent with a distinct G-spot has been identified, the vagina is not a passive organ but a highly… 
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References

SHOWING 1-10 OF 62 REFERENCES
The clitoral complex: a dynamic sonographic study.
TLDR
It is suggested that the special sensitivity of the lower anterior vaginal wall could be explained by pressure and movement of clitoris' root during a vaginal penetration and subsequent perineal contraction.
Anatomy of the clitoris.
PURPOSE We present a comprehensive account of clitoral anatomy, including its component structures, neurovascular supply, relationship to adjacent structures (the urethra, vagina and vestibular
Coitus as revealed by ultrasound in one volunteer couple.
TLDR
The clitoris and vagina must be seen as an anatomical and functional unit being activated by vaginal penetration during intercourse to explain the pleasurable sensitivity of this anterior vaginal area called the G-spot.
Pilot echographic study of the differences in clitoral involvement following clitoral or vaginal sexual stimulation.
TLDR
Despite a common assumption that there is only one type of female orgasm, it is inferred that the different reported perceptions from these two types of stimulation can be explained by the different parts of the clitoris (external and internal) and CUV complex that are involved.
The suspensory ligament of the clitoris: Connective tissue supports of the erectile tissues of the female urogenital region
TLDR
The suspensory ligament of clitoris consistently displayed two components: a superficial fibro‐fatty structure extending from a broad base within the mons pubis to converge on the body of the clitoris and extending into the labia majora; in addition there is a deep component with a narrow origin on the symphysis pubis extending to the body and the bulbs of the vagina.
Measurement of the thickness of the urethrovaginal space in women with or without vaginal orgasm.
TLDR
The measurement of the space within the anterior vaginal wall by ultrasonography is a simple tool to explore anatomical variability of the human clitoris-urethrovaginal complex, also known as the G-spot, which can be correlated to the ability to experience the vaginally activated orgasm.
The anatomy of the distal vagina: towards unity.
TLDR
The anatomy of the distal vagina, clitoris, and urethra form an integrated entity covered superficially by the vulval skin and its epithelial features and during sexual stimulation respond as a unit though the responses are not uniform.
Female orgasm(s): one, two, several.
TLDR
The assumption that women may experience only the clitoral, external orgasm is not based on the best available scientific evidence.
Clitoral size and location in relation to sexual function using pelvic MRI.
TLDR
Women with anorgasmia possessed a smaller clitoral glans and clitoral components farther from the vaginal lumen than women with normal orgasmic function.
Sexual function after rectocele repair.
TLDR
Posterior fascial repair improves some domains of sexual function but not all in sexually active patients with symptomatic rectoceles, and local oestrogene treatment may contribute to this finding.
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