Aesthetic Plastic Surgery

, Volume 42, Issue 4, pp 1126–1132 | Cite as

G-Spotplasty: A New Surgical Plastic Intervention—The Preliminary Study

  • Adam Ostrzenski
Original Article Genital Surgery



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.


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.


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.


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


G-spot G-spotplasty G-spot dysfunction G-spot therapy Female orgasm Female sexual response cycle 



The author likes to thank Prof. Pawel Krajewski, M.D., Ph.D., Dr. Hab., chairman of the Department Forensic Medicine, Warsaw Medical University, Poland, for selecting fresh human female cadavers for my study.

Compliance with Ethical Standards

Conflict of interest

The author declares no conflict of interest.


  1. 1.
    Davidson JK, Darling CA, Conway-Welch C (1989) The role of the Gräfenberg spot and female ejaculation in the female orgasmic response: an empirical analysis. J Sex Marital Ther 15:102–120CrossRefPubMedGoogle Scholar
  2. 2.
    Darling CA, Davidson JK, Conway-Welch C (1990) Female ejaculation: perceived origins: Gräfenberg spot/area, and sexual responsiveness. Arch Sex Behav 19:29–47CrossRefPubMedGoogle Scholar
  3. 3.
    Shafic A, Sibai EIO, Shafik AA, Ahmed I, Mostafa RM (2004) The electrovaginogram: study of the vaginal electric activity and its role in the sexual act and disorders. Arch Gynecol Obstet 269(4):282–286CrossRefGoogle Scholar
  4. 4.
    Woodard TL, Dimond MP (2009) Physiologic measure of sexual function in women: a review. Fertil Steril 92(1):19–34CrossRefPubMedGoogle Scholar
  5. 5.
    Gräfenberg E (1950) The role of urethra in female orgasm. Int J Sexol 3:145–148Google Scholar
  6. 6.
    Ostrzenski A (2012) G-spot anatomy: a new discovery. J Sex Med 9:1355–1359CrossRefPubMedGoogle Scholar
  7. 7.
    Ostrzenski A, Krajewski P, Ganjei-Azar P, Wasiutynski A, Scheinberg MN, Tarka S, Fudalej M (2014) Anatomy verification and histologic new discovery of the G-spot complex. Br IntJ Obstet Gynecol 121(11):1333–1339CrossRefGoogle Scholar
  8. 8.
    Ostrzenski A (2014) Anatomic documentation of the G-spot complex role in the genesis of anterior vaginal wall ballooning. Eur J Obstet Gynecol Reprod Biol 180:186–191CrossRefPubMedGoogle Scholar
  9. 9.
    Maratos YK, Gombergh R, Cornier E, Minart JP, Amoretti N, Mpotsaris A (2016) The G-spot: an observational MRI pilot study. BJOG 123(9):1542–1549CrossRefPubMedGoogle Scholar
  10. 10.
    Goldstein I, Berman JR (1998) Vasculogenic female sexual dysfunction: vaginal engorgement and clitoral erectile insufficiency syndromes. Int J Impot Res 10(Suppl 2):S84–90 (discussion S98-101. Review) PubMedGoogle Scholar
  11. 11.
    Lee R (1841) On the nervous ganglia of the uterus. Lancet 1:469–471Google Scholar
  12. 12.
    Bachelet JT, Mojallal A, Boucher F (2014) Female genital surgery, G-sspot amplification techniques-state of the science. Ann Chir Plast Esthet 59(5):344–347CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  1. 1.Howard UniversityWashingtonUSA
  2. 2.Institute of Gynecology, Inc.St. PetersburgUSA

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