PCOS and urethrovaginal space: 3-D volumetric and vascular analysis

Cesare Battaglia, Rossella Elena Nappi, Fulvia Mancini, Stefania Alvisi, Simona Del Forno, Bruno Battaglia, Stefano Venturoli

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Introduction. The vaginal orgasm seems to be evocated by the stimulation of the G-spot: a highly sensitive area on the anterior wall of the human vagina. However, the existence of such a spot is controversial. Aim. To evaluate, by the use of three-dimensional (3-D) ultrasonography, the anatomic structures of the urethrovaginal space both in polycystic ovarian syndrome (PCOS) patients and eumenorrheic non-hirsute controls. Methods. Twenty-three (Group I) PCOS patients and 25 eumenorrheic young women (Group II) were submitted to two-dimensional (2-D) and 3-D ultrasonography and color Doppler analysis of the urethrovaginal space and of the clitoris. Main Outcome Measures: 2-D ultrasonographic evaluation of the ovaries and of the urethrovaginal space; color Doppler evaluation of the ovarian stromal arteries, urethrovaginal main feeding artery, and dorsal clitoral arteries; 3-D volume calculation of the urethrovaginal space, and 3-D power Doppler analysis of the vascularization index; flow index; and vascularization flow index; hormonal evaluation. Results. The vaginal orgasm was present in 13/23 (56%) patients in PCOS Group and in 13/25 (52%) in the controls. The 3-D reconstruction of the urethrovaginal space demonstrated a gland-like aspect with small feeding vessels: "female prostate." The 3-D mean volume of the "female prostate" was significantly higher in Group I (0.48 ± 0.21 mL) than in Group II (0.39 ± 0.19 mL; P = 0.044). The Virtual Organ Computer-aided AnaLys (VOCAL) built mean volume of the "female prostate" was positively correlated with the time since intercourse (r = 0.486; P = 0.032), with the total length of the urethrovaginal space (r = 0.616; P = 0.025) and with the testosterone (r = 0.424; P = 0.048) circulating values. Conclusions. The presence of the G-spot and its role in vaginal orgasm remains controversial. In Italians, and normal weight PCOS patients the hyperandrogenism seems to result in ovarian stromal and "female prostate" hyperplasia. Battaglia C, Nappi RE, Mancini F, Alvisi S, Del Forno S, Battaglia B, Venturoli S. PCOS and urethrovaginal space: 3-D volumetric and vascular analysis.

Original languageEnglish
Pages (from-to)2755-2764
Number of pages10
JournalJournal of Sexual Medicine
Volume7
Issue number8
DOIs
Publication statusPublished - Aug 2010

Fingerprint

Polycystic Ovary Syndrome
Blood Vessels
Orgasm
Prostate
Arteries
Clitoris
Doppler Color Ultrasonography
Hyperandrogenism
Vagina
Hyperplasia
Testosterone
Ovary
Ultrasonography
Color
Outcome Assessment (Health Care)
Weights and Measures

Keywords

  • Doppler
  • Female Prostate
  • G-spot
  • Ultrasound
  • Vaginal Orgasm

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynaecology
  • Reproductive Medicine

Cite this

Battaglia, C., Nappi, R. E., Mancini, F., Alvisi, S., Del Forno, S., Battaglia, B., & Venturoli, S. (2010). PCOS and urethrovaginal space: 3-D volumetric and vascular analysis. Journal of Sexual Medicine, 7(8), 2755-2764. https://doi.org/10.1111/j.1743-6109.2009.01651.x

PCOS and urethrovaginal space : 3-D volumetric and vascular analysis. / Battaglia, Cesare; Nappi, Rossella Elena; Mancini, Fulvia; Alvisi, Stefania; Del Forno, Simona; Battaglia, Bruno; Venturoli, Stefano.

In: Journal of Sexual Medicine, Vol. 7, No. 8, 08.2010, p. 2755-2764.

Research output: Contribution to journalArticle

Battaglia, C, Nappi, RE, Mancini, F, Alvisi, S, Del Forno, S, Battaglia, B & Venturoli, S 2010, 'PCOS and urethrovaginal space: 3-D volumetric and vascular analysis', Journal of Sexual Medicine, vol. 7, no. 8, pp. 2755-2764. https://doi.org/10.1111/j.1743-6109.2009.01651.x
Battaglia, Cesare ; Nappi, Rossella Elena ; Mancini, Fulvia ; Alvisi, Stefania ; Del Forno, Simona ; Battaglia, Bruno ; Venturoli, Stefano. / PCOS and urethrovaginal space : 3-D volumetric and vascular analysis. In: Journal of Sexual Medicine. 2010 ; Vol. 7, No. 8. pp. 2755-2764.
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abstract = "Introduction. The vaginal orgasm seems to be evocated by the stimulation of the G-spot: a highly sensitive area on the anterior wall of the human vagina. However, the existence of such a spot is controversial. Aim. To evaluate, by the use of three-dimensional (3-D) ultrasonography, the anatomic structures of the urethrovaginal space both in polycystic ovarian syndrome (PCOS) patients and eumenorrheic non-hirsute controls. Methods. Twenty-three (Group I) PCOS patients and 25 eumenorrheic young women (Group II) were submitted to two-dimensional (2-D) and 3-D ultrasonography and color Doppler analysis of the urethrovaginal space and of the clitoris. Main Outcome Measures: 2-D ultrasonographic evaluation of the ovaries and of the urethrovaginal space; color Doppler evaluation of the ovarian stromal arteries, urethrovaginal main feeding artery, and dorsal clitoral arteries; 3-D volume calculation of the urethrovaginal space, and 3-D power Doppler analysis of the vascularization index; flow index; and vascularization flow index; hormonal evaluation. Results. The vaginal orgasm was present in 13/23 (56{\%}) patients in PCOS Group and in 13/25 (52{\%}) in the controls. The 3-D reconstruction of the urethrovaginal space demonstrated a gland-like aspect with small feeding vessels: {"}female prostate.{"} The 3-D mean volume of the {"}female prostate{"} was significantly higher in Group I (0.48 ± 0.21 mL) than in Group II (0.39 ± 0.19 mL; P = 0.044). The Virtual Organ Computer-aided AnaLys (VOCAL) built mean volume of the {"}female prostate{"} was positively correlated with the time since intercourse (r = 0.486; P = 0.032), with the total length of the urethrovaginal space (r = 0.616; P = 0.025) and with the testosterone (r = 0.424; P = 0.048) circulating values. Conclusions. The presence of the G-spot and its role in vaginal orgasm remains controversial. In Italians, and normal weight PCOS patients the hyperandrogenism seems to result in ovarian stromal and {"}female prostate{"} hyperplasia. Battaglia C, Nappi RE, Mancini F, Alvisi S, Del Forno S, Battaglia B, Venturoli S. PCOS and urethrovaginal space: 3-D volumetric and vascular analysis.",
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AU - Venturoli, Stefano

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N2 - Introduction. The vaginal orgasm seems to be evocated by the stimulation of the G-spot: a highly sensitive area on the anterior wall of the human vagina. However, the existence of such a spot is controversial. Aim. To evaluate, by the use of three-dimensional (3-D) ultrasonography, the anatomic structures of the urethrovaginal space both in polycystic ovarian syndrome (PCOS) patients and eumenorrheic non-hirsute controls. Methods. Twenty-three (Group I) PCOS patients and 25 eumenorrheic young women (Group II) were submitted to two-dimensional (2-D) and 3-D ultrasonography and color Doppler analysis of the urethrovaginal space and of the clitoris. Main Outcome Measures: 2-D ultrasonographic evaluation of the ovaries and of the urethrovaginal space; color Doppler evaluation of the ovarian stromal arteries, urethrovaginal main feeding artery, and dorsal clitoral arteries; 3-D volume calculation of the urethrovaginal space, and 3-D power Doppler analysis of the vascularization index; flow index; and vascularization flow index; hormonal evaluation. Results. The vaginal orgasm was present in 13/23 (56%) patients in PCOS Group and in 13/25 (52%) in the controls. The 3-D reconstruction of the urethrovaginal space demonstrated a gland-like aspect with small feeding vessels: "female prostate." The 3-D mean volume of the "female prostate" was significantly higher in Group I (0.48 ± 0.21 mL) than in Group II (0.39 ± 0.19 mL; P = 0.044). The Virtual Organ Computer-aided AnaLys (VOCAL) built mean volume of the "female prostate" was positively correlated with the time since intercourse (r = 0.486; P = 0.032), with the total length of the urethrovaginal space (r = 0.616; P = 0.025) and with the testosterone (r = 0.424; P = 0.048) circulating values. Conclusions. The presence of the G-spot and its role in vaginal orgasm remains controversial. In Italians, and normal weight PCOS patients the hyperandrogenism seems to result in ovarian stromal and "female prostate" hyperplasia. Battaglia C, Nappi RE, Mancini F, Alvisi S, Del Forno S, Battaglia B, Venturoli S. PCOS and urethrovaginal space: 3-D volumetric and vascular analysis.

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KW - Doppler

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KW - G-spot

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