Background: Ostrzenski's G-pot anatomical structure discovery has been verified by the anatomy, histology, MRI in vivo, and electrovaginography in vivo studies. The objectives of this scientific-clinical investigation were to develop a new surgical reconstructive intervention (G-spotplasty); to determine the ability of G-spotplasty surgical implementation; to observe for potential complications; and to gather initial information on whether G-spotplasty improves female sexual activity, sexual behaviors, and sexual concerns.
Methods: A case series study was designed and conducted with 5-year follow-up (October 2013 and October 2017). The rehearsal of new G-spotplasty was performed on fresh female cadavers. Three consecutive live women constituted this clinical study population, and they were subjected to the newly developed G-spotplasty procedure in October 2013. Preoperatively and postoperatively, a validated, self-completion instrument of Sexual Relationships and Activities Questionnaire (SRA-Q) was used to measure female sexual activity, sexual behaviors, and sexual concerns.
Results: Three out of twelve women met inclusion criteria and were incorporated into this study. All patients were subjected to G-spotplasty, completed 5-year follow-up, and returned completed SRA-Q in a sealed envelope. New G-spotplasty was successfully implemented without surgical difficulty and without complications. All patients reported re-establishing vaginal orgasms with different degrees of difficulties, observing return of anterior vaginal wall engorgement, and were very pleased with the outcome of G-spotplasty.
Conclusions: The G-spotplasty is a simple surgical intervention, easy to implement, and improves sexual activities, sexual behaviors, and sexual concerns. The preliminary results are very promising and paved the way for additional clinical-scientific research.
Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Keywords: Female orgasm; Female sexual response cycle; G-spot; G-spot dysfunction; G-spot therapy; G-spotplasty.