Abstract

The Clinical Opinion paper “The G-spot: A modern gynecologic myth” by Terence M. Hines1Hines TM The G-spot: a modern gynecologic myth.Am J Obstet Gynecol. 2001; 185: 359-362Abstract Full Text Full Text PDF PubMed Scopus (88) Google Scholar suggested that the following brief comments on the female prostate and ejaculation would be relevant and of interest to the readers. Research from our laboratory (which has included investigation of autopsy and biopsy samples of urethrae and prostates from 150 women) and others, as recently reviewed,2Zaviacic M The human female prostate.in: Vestigial Skene's paraurethral glands and ducts to woman's functional prostate. Slovak Academic Press, Bratislava (Slovakia)1999: 1-171Google Scholar presents the female prostate as a urogenital organ of women that has morphologic features (anatomy, histology), ultrastructure, functions (exocrine production of female prostatic fluid and neuroendocrine function), enzymatic properties (eg, prostatic specific antigen [PSA]) and histopathologic features similar to those of the male prostate. The majority of prostatic tissue (the posterior type of prostate) is localized in the place of the G-spot in only 10% of women.2Zaviacic M The human female prostate.in: Vestigial Skene's paraurethral glands and ducts to woman's functional prostate. Slovak Academic Press, Bratislava (Slovakia)1999: 1-171Google Scholar The main part of the female prostatic tissue (so called anterior, meatal type of the female prostate, found in 66% of women2Zaviacic M The human female prostate.in: Vestigial Skene's paraurethral glands and ducts to woman's functional prostate. Slovak Academic Press, Bratislava (Slovakia)1999: 1-171Google Scholar) is in the distal part of the urethra2Zaviacic M The human female prostate.in: Vestigial Skene's paraurethral glands and ducts to woman's functional prostate. Slovak Academic Press, Bratislava (Slovakia)1999: 1-171Google Scholar and does not correspond to the topologic placement of the G-spot. According to Eichel et al,3Eichel EW Ablin RJ Zaviacic M. A natural anatomic design (c.a.t.) for coital orgasm: implications for health and pathology [abstract].in: Proceedings of the 15th World Congress on Sexology; 24-28 June 2001; Paris, France The Congress, Paris2001: 2Google Scholar the meatal type of the female prostate is a newly identified female erogenous zone important to coital female orgasm.2Zaviacic M The human female prostate.in: Vestigial Skene's paraurethral glands and ducts to woman's functional prostate. Slovak Academic Press, Bratislava (Slovakia)1999: 1-171Google Scholar, 3Eichel EW Ablin RJ Zaviacic M. A natural anatomic design (c.a.t.) for coital orgasm: implications for health and pathology [abstract].in: Proceedings of the 15th World Congress on Sexology; 24-28 June 2001; Paris, France The Congress, Paris2001: 2Google Scholar On the basis of research of the functioning female urogenital organ (ie, the female prostate), the Federative International Committee on Anatomical Terminology concurred at their recent 2001 meeting (Orlando, Fla) to the use of the term “female prostate” (prostata feminina) in the new forthcoming edition of Histology Terminology. The female prostate presents, although substantially less frequently, with the same diseases as the male prostate. These include prostatic carcinoma, benign prostate hyperplasia, and the prostatitis–female urethral syndrome.2Zaviacic M The human female prostate.in: Vestigial Skene's paraurethral glands and ducts to woman's functional prostate. Slovak Academic Press, Bratislava (Slovakia)1999: 1-171Google Scholar The evaluation of the incidence of prostatic diseases in women and the modern nonvestigial concept of the female prostate as a functional urogenital organ opens new approaches in clinical investigation and therapy of diseases of this female organ. On the basis of evidence of prostatic components, especially PSA in the fluid of the female ejaculate, the female prostate is the principal source of fluid of female urethral expulsion and clearly participates in the female ejaculation phenomenon.2Zaviacic M The human female prostate.in: Vestigial Skene's paraurethral glands and ducts to woman's functional prostate. Slovak Academic Press, Bratislava (Slovakia)1999: 1-171Google Scholar, 4Cabello F Female ejaculation: myths and reality.in: Borrás-Valls JJ Péres-Conchillo M Sexuality and human rights, Proceedings of the 13th World Congress of Sexology; 25-29 June 1997; Valencia, Spain Nau Llibres, Valencia1997: 1-8Google Scholar In summary, we express our concern with the persisting skepticism and omission of relevant literature, especially in relation to the female prostate and female ejaculation phenomenon and implications of the exocrine function of the female prostate.

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