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Chailee F Moss, Lynn A Damitz, Richard H Gracely, Alice C Mintz, Denniz A Zolnoun, A Lee Dellon
INTRODUCTION: Transobturator slings can be successfully used to treat stress urinary incontinence and improve quality of life through a minimally invasive vaginal approach. Persistent postoperative pain can occur and pose diagnostic and therapeutic dilemmas. Following a sling procedure, a patient complained of pinching clitoral and perineal pain. Her symptoms of localized clitoral pinching and pain became generalized over the ensuing years, eventually encompassing the entire left vulvovaginal region...
2016: Journal of Pain Research
C M R Ouédraogo, S Madzou, A Simporé, V Combaud, A Ouattara, F Millogo, A Ouédraogo, S Kiemtore, H Zamane, Y A Sawadogo, P Kaien, B Dramé, B Thieba, J Lankoandé, P Descamps
OBJECTIVE: The objective of this survey was to assess the results of a new clitoral transposition technique in the obstetrics and gynecology department of CHUYO. MATERIALS AND METHOD: A cohort of 68 women victims of genital mutilation has received clitoral reconstruction by a new technique of transposition of the clitoris. They were operated and followed for 12 months in CHUYO gynecology ward in Ouagadougou. We evaluated the management of pain, anatomical aspect, functional and occurrence of complications...
October 5, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Elisa Maseroli, Egidia Fanni, Sarah Cipriani, Irene Scavello, Francesca Pampaloni, Cesare Battaglia, Massimiliano Fambrini, Edoardo Mannucci, Emmanuele A Jannini, Mario Maggi, Linda Vignozzi
INTRODUCTION: The relation between sexual and cardiovascular health in women is not well defined. Clitoral color Doppler ultrasound (CDU) with assessment of the pulsatility index (PI), reflecting resistance to blood flow, has been proposed as an objective measurement of sexual functioning. AIM: To investigate associations between clitoral PI and cardiometabolic risk factors, sexual and intrapsychic parameters, and self-perception of body image. METHODS: Seventy-one adult heterosexual women in a stable relationship attending our clinic for sexual dysfunction were consecutively recruited...
September 27, 2016: Journal of Sexual Medicine
James R Wilson, Miriam Segal, Peter Riedel, Phillip Acevedo
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Nicole Prause, Lambert Kuang, Peter Lee, Geoffrey Miller
INTRODUCTION: Most women report that clitoral stimulation is an integral aspect of their orgasm experience. Thus, recent claims that vaginal stimulation and vaginally generated orgasms are superior to clitoral stimulation and clitorally generated orgasms pathologize most women and maintain a clitoral vs vaginal dichotomy that might not accurately reflect the complexity of women's sexual experience. AIM: To have women report on their experienced source of orgasm, including combinations of vaginal and clitoral stimulation, the solo or partnered context of the stimulation, and the intensity of the orgasms from different sources and to predict indicators of mental health and sexual health using the orgasm source...
September 22, 2016: Journal of Sexual Medicine
K P Wolffenbuttel, V S Menon, G M Grimsby, M J Ten Kate-Booij, L A Baker
INTRODUCTION: The surgical management of girls with masculinized genitalia is gradually changing towards a more conservative approach. Reports on loss of clitoral sensitivity and related impairment of sexual function in women after feminizing genital surgery in childhood have been pivotal in this evolution. An exposed clitoral glans is occasionally seen at follow-up, and while patients may complain of aesthetics, no clitoral discomfort secondary to glans exposure has been reported. A technique has been developed to reconstruct the clitoral hood and the present study reports the preliminary results...
August 21, 2016: Journal of Pediatric Urology
Vincenzo Puppo
The World Health Organization reports that more than 200 million women currently alive have been subjected to female genital mutilation/cutting (FGM/C) worldwide, and three million girls continue to be at risk each year. FGM/C today is women's business. The vulva is formed by the labia majora and the vestibule, with its erectile apparatus. These structures are located under the urogenital diaphragm, behind the pubic symphysis in the anterior perineal region. The clitoris is entirely an external genital organ: the glans and body covered by the prepuce are visible/free while the roots are hidden...
September 6, 2016: Clinical Anatomy
Avery Whitis, Diane E Elas, Andrea OʼShea, Colleen K Stockdale
OBJECTIVES: The aim of the study was to present a series of women with a history of traditional abdominoplasty or circumferential abdominoplasty (belt lipectomy) with vulvar concerns and anatomic changes. METHODS: We describe 5 women with a history of abdominoplasty who were referred with symptoms of vulvar pain, dyspareunia, lower urinary tract symptoms, and/or lesion/mass. Physical examination revealed elevation of the clitoris on the pubic symphysis with or without retraction of the clitoral hood in each...
October 2016: Journal of Lower Genital Tract Disease
Tarek K Al-Hussaini
No abstract text is available yet for this article.
November 2016: International Journal of Gynaecology and Obstetrics
Yechiel Z Burke, Lior Lowenstein
INTRODUCTION: Female sexual dysfunction (FSD) is multifactorial, with psychological and organic elements. Genital sensation, an important component of sexual response, has until recently not been subjected to adequate clinical appraisal. During the past 15 years we have performed Quantitative Sensory Testing (QST) to assess genital sensation in healthy women and women with FSD. AIM: To review available evidence of QST in the investigation of genital sensation in women with FSD...
April 2016: Sexual Medicine Reviews
Joel Shen, Maya Overland, Adriane Sinclair, Mei Cao, Xuan Yue, Gerald Cunha, Laurence Baskin
We recently described a two-step process of urethral plate canalization and urethral fold fusion to form the human penile urethra. Canalization ("opening zipper") opens the solid urethral plate into a groove, and fusion ("closing zipper") closes the urethral groove to form the penile urethra. We hypothesize that failure of canalization and/or fusion during human urethral formation can lead to hypospadias. Herein, we use scanning electron microscopy (SEM) and analysis of transverse serial sections to better characterize development of the human fetal penile urethra as contrasted to the development of the human fetal clitoris...
July 5, 2016: Differentiation; Research in Biological Diversity
Jaime Mendiola, María L Sánchez-Ferrer, Raquel Jiménez-Velázquez, Laura Cánovas-López, Ana I Hernández-Peñalver, Shiana Corbalán-Biyang, Ana Carmona-Barnosi, María T Prieto-Sánchez, Aníbal Nieto, Alberto M Torres-Cantero
STUDY QUESTION: Is the length of the anogenital distance (AGD), a biomarker of the in-utero prenatal hormonal environment, associated with the presence of endometriomas and deep infiltrating endometriosis (DIE)? SUMMARY ANSWER: Shorter AGD is associated with presence of endometriomas and DIE. WHAT IS KNOWN ALREADY: It is debated whether hormonal exposure to estrogens in utero may be a risk factor for endometriosis in adulthood. AGD is a biomarker of prenatal hormonal environment and observational studies have shown an association between AGD and reproductive parameters in both sexes...
October 2016: Human Reproduction
Lucía Demaldé, Mariana Lopez Merlo, Rosario Vercellini, Claudio G Barbeito, Patricia Fernandez, Cristina Gobello
To test the hypothesis that in domestic cats, postnatal androgens induce sterility, the aims of this study were to describe the reproductive effects and the clinical safety of a postnatal administration of a long term release androgen in this species. Thirteen newborn littermate female kittens were randomly assigned to one of the following treatment groups within the first 24h of birth: testosterone enanthate 12.5mg sc (TE; n=8) or Placebo (PL; n=5). The animals were subsequently assessed for fecal sexual hormones until puberty was attained and subsequently when matings occurred...
August 2016: Animal Reproduction Science
A Bouty, Y Lefevre, L Harper, E Dobremez
INTRODUCTION: Urethral duplication is extremely rare in girls, with less than 40 cases reported so far. Most of them present as a prepubic sinus. Literature is scare regarding aetiology, classification and management in other forms. This study presents three cases of sagittal urethral duplication in girls presenting a main hypospadiac urethra and an accessory epispadiac urethra. PATIENTS AND METHODS: Medical records were retrospectively reviewed of three girls with urethral duplication managed over a 30-year period at a single institution...
August 2016: Journal of Pediatric Urology
Kayla L Nelson, Sarah K McQuillan, Philippa Brain
STUDY OBJECTIVES: Clitoral cysts in the pediatric population are rare conditions that require careful evaluation. This review of the literature will discuss the evaluation of clitoral abnormalities in the pediatric population, the development of clitoral cysts and how to differentiate benign from malignant tumors. In addition, a summary of relevant cases of clitoral tumors in the literature will be discussed. DESIGN: Literature review DATA SOURCE: A MEDLINE and advanced PUBMED search was conducted of all English language articles published using the search terms "Clitoris" and "Cyst" until February 2015...
May 26, 2016: Journal of Pediatric and Adolescent Gynecology
Red M Alinsod
BACKGROUND AND OBJECTIVES: To evaluate the safety, tolerability, and clinical efficacy of transcutaneous temperature controlled radiofrequency (TTCRF) on vulvovaginal tissue for orgasmic dysfunction. STUDY DESIGN/MATERIALS AND METHODS: Subjects included 25 sexually active women, ages 21-65, with self-reported difficulty in achieving orgasms during sex (anorgasmic or slow-to-orgasm). Each patient received three sessions at intervals of about 1 month. Treatment was performed using a slim S-shaped probe with a stamp-sized metal radiofrequency emitter on one surface of the tip (25 minutes total time on average)...
September 2016: Lasers in Surgery and Medicine
Mathilde Vital, Sophie de Visme, Matthieu Hanf, Henri-Jean Philippe, Norbert Winer, Sophie Wylomanski
OBJECTIVES: Few prospective studies have evaluated sexual function in women with female genital mutilation by cutting (FGM/C) before and after clitoral reconstructive surgery, and none used a validated questionnaire. A validated questionnaire, the Female Sexual Function Index (FSFI) was used for the first time, to assess the impact of reconstructive surgery on sexual function in women with female genital mutilation/cutting (FGM/C) before and after clitoral reconstructive surgery. STUDY DESIGN: Women with FGM/C consulting at the Nantes University Hospital for clitoral reconstruction between 2013 and 2014 were prospectively included...
April 30, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Rakesh Mondal, Kaushani Chatterjee, Moumita Samanta, Avijit Hazra, Somosri Ray, Tapas Kumar Sabui, Basanta Banerjee, Suman Das, Dibyendu Roychowdhury, Rupa Biswas
OBJECTIVE: To generate normative data on clitoris length, anogenital distance and anogenital ratio in Indian newborns. DESIGN: Cross-sectional study. SETTING: Neonatal unit of a tertiary care teaching hospital in Kolkata. PARTICIPANTS: 378 female neonates, who were hemo-dynamically stable without critical illness or chromosomal anomaly, and without any vulval hematoma or genital abnormalities. INTERVENTIONS: Measurements were recorded using a digital vernier caliper between 24-72 hours...
April 2016: Indian Pediatrics
Shriraam Mahadevan, Sudha Rathna Prabhu
No abstract text is available yet for this article.
April 2016: Indian Pediatrics
Lotte De Schrijver, Els Leye, Mireille Merckx
OBJECTIVES: Female genital mutilation (FGM) is becoming more widely seen in the West, due to immigration and population movement. Health services are being confronted with the need to provide care for women with FGM. One of the more recent trends is the provision of clitoral reconstruction. It remains unclear, however, what constitutes good practice with regard to this type of surgery. METHODS: Based on a keynote presentation about reconstructive clitoral surgery, we briefly discuss the possible consequences of FGM and the findings from recent publications on clitoral reconstruction...
August 2016: European Journal of Contraception & Reproductive Health Care
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