We Know Nothing About the Clitoris. That Needs to Change скачать в хорошем качестве

We Know Nothing About the Clitoris. That Needs to Change

Do we really know what the clitoris looks like? Dr Rachel Rubin poses this question to Dr Shaniel Bowen, who conducted novel 3D modeling of clitoral anatomy in a recent JAMA Surgery investigation. https://www.medscape.com/viewarticle/... -- TRANSCRIPT -- Rachel S. Rubin, MD: Welcome back to Sex Matters. I'm Dr Rachel Rubin. I'm a urologist with fellowship training in sexual medicine, and I practice in the Washington, DC, area. I'm thrilled to introduce Dr Shaniel Bowen and to talk about her very exciting research that was recently published. Dr Bowen, go ahead and introduce yourself. Shaniel Bowen, PhD: I'm Dr Shaniel Bowen. I'm a second-year postdoctoral researcher at MIT in the Edelman Lab, and my research primarily focuses on female pelvic anatomy and health. I'm currently specializing in sexual anatomy and health. Rubin: I love your scientific background. Can you explain your background prior to MIT? Bowen: I have a bachelor's degree and master's degree in biomedical engineering from the University of Connecticut, and I recently acquired my PhD in bioengineering from the University of Pittsburgh. During my PhD, I performed bioimaging analyses of women after pelvic organ prolapse surgery. I investigated the relationship between clitoral anatomy and postoperative sexual function. Rubin: I'm so grateful that you are looking at clitoral anatomy because this is a topic that has been really understudied. In our anatomy textbooks, there's almost nothing on clitoral anatomy, even though the clitoris is the homologue of the penis — which we have lots of research on. Dr Bowen just published a fabulous paper in JAMA Surgery titled Post Operative Sexual Function After Vaginal Surgery and Clitoral Size, Position, and Shape. Dr Bowen, what did you investigate in this paper? Bowen: This paper was a supplementary study of an NIH-sponsored national research network called the Pelvic Floor Disorders Network. We had access to postoperative images of women after prolapse surgery. I was brought in to segment the 3D clitoral anatomy and correlate it with sexual questionnaire data that were obtained from the primary clinical study. We were trying to determine whether there was a relationship between anatomy and function in these patients. It was a great learning experience — prior to this, I didn't really know what a clitoris looked like! Learning what the clitoris actually looks like, how it can vary from person to person, and seeing how it relates to functional outcomes was super cool to see. Rubin: Why don't you take us through and explain the modeling process. I think a lot of doctors watching this don't truly know much about the specifics of clitoral anatomy. Bowen: I was really inspired by Dr Christine Vaccaro's work. Dr Vaccaro previously looked at clitoral anatomy from MRI and a lot of the measurements were obtained in 2D. I sought to expand the analysis to 3D, which involved creating a custom program to obtain dimensional measurements of each component of the clitoris. By fitting bounding boxes around each structure and looking at the volume enclosed by the 3D models, we can take length, width, and thickness measurements of each clitoral component, such as the glans, body, and crura, and the volume of the vestibular bulbs. Another interesting aspect that hasn't really been described before is the position of the clitoris with respect to the bony pelvis. Using an anatomical coordinate system based on the bony landmarks of the pelvis, we can quantify the position of the clitoris for each individual in an objective and systematic manner. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/...