G-spot Augmentation

What is the G-spot, and where is it located?

Some have referred to the G-spot as the anatomical UFO (unidentified flying object) because of the huge debate, controversy and conjecture as to whether it actually exists at all! Dr. Arnold Grafenberg (hence G-spot) originally described it in 1950. This erogenous zone was claimed to be 1–2 cm proximal

to the urethra on the anterior vaginal wall. It is said that stimulation of this area aids female orgasm. However, there is precious little objective evidence of this entity. From time to time there are reports of the finding of a plexus of nerve fibres in the anterior vagina, but for every such report there is a report to the contrary. There are reports that the sub-epithelial anterior vaginal wall has more free nerve endings than the posterior wall, but there are also reports that refute this!

For the believers, the G-spot is a a highly sensitive area stimulation of which results in expansion of approximately 50%, high levels of sexual arousal and powerful orgasm. Non-believers would argue that gentle, manual stimulation of any part of the vagina can lead to sexual arousal, even to the level of orgasm, and that there is not a specific anatomical entity that is the G-spot.

G-spot Augmentation

G-spot augmentation or amplification was first described by Dr. David

Matlock in 2001. Dr Matlock pioneered many ideas / concepts in cosmetic gynaecological surgery including “vaginal rejuvenation” procedures. Following G-spot augmentation many women have appeared on public television proclaiming its beneficial effects. However, it remains a controversial cosmetic procedure, and rigorous research is urgently required to resolve the controversies.

The technique of G-spot augmentation:

Patient selection is clearly important, since offering this treatment to a complete skeptic (regarding the existence of the G-spot) is not likely to be beneficial.

Material to be injected could be collagen, autologous fat, but probably the most widely used material is hyaluronic acid.

The main exclusion criteria is allergy to the material to be injected.

The procedure is discussed with the patient, and the patient is given time and privacy to find and stimulate her G-spot. The patient is positioned in the lithotomy position and a speculum applied. The vaginal walls are cleaned with betadine, and the speculum rotated 900 to expose the anterior vaginal wall. The bulging area on the anterior vaginal wall is identified, palpated and the patient asked to confirm. Local anaesthetic is applied using a 30 G needle, and then 2 cc hyaluronic acid is injected subcutaneously.

Some rare complications of G-spot augmentation

These are indeed rare, and include an allergic reaction to the material used to augment the G-spot, urinary infection and urinary retention. Also reported are urethral irritation, peri-urethral pseudocyst formation and urethro-vaginal fistulae, while postoperative bleeding, erosion of the G spot with open sores and scar formation could also occur.

Post- operative recovery – do’s and dont’s:

In fact there are no don't’s! The woman can engage in sexual intercourse the very same day. If required the procedure can be repeated every 4-9 months, depending on how rapidly the injected material (usually hyaluronic acid) is absorbed and cleared from the area.

Professor Isaac Manyonda

Professor Isaac Manyonda
c/o Parkside Hospital, 53 Parkside, Wimbledon, London, SW19 5NX

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