了解小阴唇的功能意义:性生理学范围综述。

IF 3.6 2区 医学 Q1 UROLOGY & NEPHROLOGY
Sara Perelmuter, Sarah Ponce, Meghana Chapalamadugu, Katelyn Maliszewski, Gabrielle Smotrich, Rachel Rubin
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引用次数: 0

摘要

背景:小阴唇是女性生殖器解剖学中的一个重要组成部分,但人们对它的研究却不够深入,小阴唇被认为在女性性功能中扮演着重要角色。尽管小阴唇具有潜在的重要性,但将小阴唇的解剖学特征与性功能联系起来的实证证据仍然有限。目的:本范围综述旨在通过批判性地评估当前有关小阴唇的文献,整合有关小阴唇解剖学、血管化、神经支配及其在女性性功能中的作用的现有研究:方法:采用符合(PRISMA-ScR)的范围界定综述方法。在多个数据库(包括 PubMed、Web of Science 和 Scopus)中进行了全面的文献检索,检索时间从数据库建立之初至 2024 年 3 月 31 日。研究筛选了有关小阴唇解剖、血管化、神经支配和性功能的原创性研究,并从符合纳入标准的研究中提取了数据。研究质量采用牛津循证医学中心证据等级和 JBI 严格评估工具进行评估:在确定的 480 项研究中,共有 27 项研究符合纳入标准,其中大部分(56%)被评为 "优质 "证据。研究一致发现,小阴唇有丰富的血管和高密度的神经末梢,这表明小阴唇在性唤起和充血中起着重要作用。然而,小阴唇的形态差异很大,这些差异对性功能的影响尚不清楚。此外,人们对荷尔蒙(尤其是雄激素)对阴唇解剖和功能的影响也知之甚少:结论:小阴唇可能在女性性功能中发挥着关键作用,但其解剖和功能的许多方面还不甚明了。未来的研究应优先对其血管和神经结构以及激素变化的影响进行详细研究,以改善临床结果和外阴相关疾病的治疗干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Understanding the functional significance of the labia minora: a scoping review on sexual physiology.

Background: The labia minora, an essential yet understudied component of female genital anatomy, has been hypothesized to play a role in the female sexual function. Despite its potential importance, empirical evidence linking the labia minora's anatomical characteristics to sexual function remains limited.

Aim: Through critically assessing the current literature on the labia minora, this scoping review aims to consolidate existing research on the labia minora's anatomy, vascularization, innervation, and its role in female sexual function.

Methods: Scoping review methods according to (PRISMA-ScR) were followed. A comprehensive literature search was conducted across multiple databases, including PubMed, Web of Science, and Scopus, from database inception to March 31, 2024. Studies were screened for original research on anatomy, vascularization, innervation, and sexual function of the labia minora, and data were extracted from those meeting the inclusion criteria. The quality of the studies was assessed using the Oxford Centre for Evidence-Based Medicine Levels of Evidence and the JBI Critical Appraisal Tool.

Results: Of the 480 studies identified, a total of 27 studies met the inclusion criteria, with the majority (56%) rated as "good" quality evidence. The labia minora was consistently found to have rich vascularization and a high density of nerve endings, suggesting a role in sexual arousal and engorgement. However, significant variations in labial morphology were noted, and the impact of these variations on sexual function remains unclear. Additionally, the role of hormonal influences, particularly androgens, on labial anatomy and function is poorly understood.Conclusion: The labia minora likely plays a critical role in female sexual function, yet many aspects of its anatomy and function are not well understood. Future research should prioritize detailed studies of its vascular and neural structures and the effects of hormonal changes to improve clinical outcomes and therapeutic interventions for vulvar-related conditions.

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来源期刊
Sexual medicine reviews
Sexual medicine reviews UROLOGY & NEPHROLOGY-
CiteScore
7.60
自引率
8.30%
发文量
5
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