Counseling parents about these sexual defects and asserting the need for correcting the mutilation, which resulted from these circumcisions, are effective steps in banning such procedures.

The G-spot is functional reality in 82.3% of women, an anatomical reality in 54.3% and a histological reality in 47.4%. Anterior vaginal wall surgery usually affects the G-spot and female sexuality, but female circumcision rarely affects them.

The G-spot is actually present in all women. It is originally related to the lower urinary tract and it is connected to different parts of the genital tract. It may be localized or generalized. Its integrity is essential for obtaining normal physiological sexuality. Surgery may affect the integrity of the G-spot, so surgical precautions must be carried out to maintain the integrity of this spot and the patient's sexuality.

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Objectives: To study the clinical and the histopathological characteristics of gastric cancer concentrating more on the gastric adenocarcinoma. Design: Prospective study of one hundred thirty Yemeni patients confirmed with gastric malignancies during the period from July 2016 to July 2017. Setting: Specialized center of gastrointestinal and liver diseases in Ibb city, Yemen. Subjects: All patients with histopathologically proved gastric cancer. Results: We collect 130 patients with gastric cancer during the study period, they were 93 males and 37 females with age ranged between 25 years and 100 years and the mean age was 64.98 ± 15.15 years. The most frequent clinical presentations of our patients were epigastric pain (81.5%), weight loss (74.6%), dysphagia (46.9%), vomiting (49.2%), palpable epigastric mass (19.2%) and hematemesis/melena (20%). Proximally located gastric cancer represented 46.1%; 48.9% of males patients and 38.9% of females patients. Adenocarcinoma constituted 92.4%, of which the intestinal type was 82.5% and the diffuse type was 17.5%. Squamous cancer accounted in 1.5%, and the non-epithelial tumor was in 6.1%, of which 4.6% were lymphoma and 1.5% were GIST. Conclusion: Adenocarcinomas are the major histological type of gastric cancer and represent 92.4% of all gastric malignancies in which intestinal type represented 82.5% and diffuse type represented 17.5%, and proximally located gastric cancer within stomach was the commonest in both sexes.

Sonocolpography is a new achievement that is essential for imaging cases of the complete vaginal septum and other allied conditions, and also in planning the associated treatment.

Objectives: To compare a new procedure of reduction clitoro-labioplasty to clitoro-labiectomy in the management of adult onset clitoro-labiomegaly, and to show the disadvantages of the latter procedure that produces female genital mutilation and sexual dysfunction. Methods: This controlled, descriptive, comparative and prospective cohort study was performed at Kasr El-Aini School of Medicine, Cairo University, Egypt. 47 cases of clitoro-labiomegaly, 12 with known causes of intersex, were diagnosed and treated by reduction clitoro-labioplasty. In addition, a control group of 53 more cases, 6 with known causes of intersex, were followed after treatment by clitoro-labiectomy. Clitoro-labioplasty was performed by excision of the anterior part of the fused corpora after separation at the glans-corporal junction and a reduction in the size of the remaining part of the corpora to reform a normal clitoral size. The neurovascular bundles were essentially preserved during this procedure. The protruded parts of the labia minora are then excised to preserve their normal dimensions. The main outcome measures were the postoperative anatomical result, patient’s satisfaction, the pre- and postoperative sex scoring, and sexuality. Results: Restoration of normal anatomy was successfully obtained after clitoro-labioplasty compared to partial or complete loss of these sensitive parts after clitoro-labiectomy. In addition, significant operative and postoperative complications were recorded in 27 cases with clitoro-labiectomy compared to none of the clitoro-labioplasty cases. The sex scores and sexuality improved significantly after the clitoro-labioplasty operation compared to clitoro-labiectomy (p < 0.005). Normalization of the sex scores and sexuality was found to be significantly related to preservation of critical clitoral length necessary for producing clitoral orientation and interest in sexuality. Conclusion: The new clitoro-labioplasty technique is able to preserve proper clitoral and labial anatomy and restore normal sexuality. Therefore it must be considered an essential line of treatment for clitoro-labiomegaly.

Objective: Trying to diagnose clinically some suggested causes of unexplained infertility related to ovum picking, fertilization, embryo growth and implantation and to outline the most suitable management needed for these cases. Design: Prospective controlled diagnostic and management study. Setting: 50 fertile cases as control. Patients: Assessment of ovum picking was determined clinically in 50 cases of unexplained infertility, in addition to certain causes related to fertilization, embryo growth and implantation in another 50 cases having failed IVF used for management of similar cases. Interventions and main outcome measure: Accessibility of the ovulation site to fimbrial end of the tube and in turn ovum picking was clinically determined by the use of combined selective salpingography and ovarian sonography. Other causes were determined by determining the cause of failure of IVF used for managing similar cases of unexplained infertility. Results: Successful clinical diagnosis of ovarian picking could be significantly obtained in 90% of the fertile cases compared to 52% of the infertile cases (P<0.005). Meanwhile, failed ovum picking could be diagnosed in 42% of the infertile cases compared to only 2% of the fertile cases (P<0.005). Other causes were also diagnosed and they included failure of formation of an embryo recorded in 14 (28%) of cases, failure of implantation in 18 (36%) and failure of growth and development of the fertilized ovum or the implanted embryo in 9 (18%) cases. Significant management could be recorded in 69.6% of cases managed as failed ovum picking compared to 29.6% in the rest of cases managed as unexplained infertility (P<0.005). In the same way the other causes were significantly managed and cured by managing the related cause and not empirically as unexplained infertility. Conclusions: Failed ovum picking by the tube, failure of formation of an embryo, failure of implantation and failure of embryo growth could be identified clinically as causes of unexplained infertility. Successful management was encountered more in the cases specifically treated for the identified cause and not generally as cases of unexplained infertility.