Pelviperineology

Figures in Original Article by Helen E. O’Connell (*) - Sanjeevan Kalavampara (*) - Bruno Frea (**) Peter Robertson (***) - Ervin Kocjancic (**)

Cadaveric study of ACT® balloons and their impact on female sexual anatomy.

(*) University of Melbourne, Melbourne, Victoria, Australia
(**) Avogadro University, Novara, Italy
(***) Five Corners, Sydney, New South Wales, Australia

(Fig. 1)

Fig 1. – Coronal section of female erectile tissue of 76 year old fixed cadaver.

(Fig. 2 )

Fig. 2. – The distances between the tubing of the previously implanted ACT® balloon and both the vestibular bulb and the crus of the clitoris was between 1.0 cm and 1.5 cm.

(Fig. 3 )

Fig. 3. – The dorsal neurovascular structures are anterior and lateral to the position of the ACT® prosthesis, at a distance of 1.5 cm or greater and unlikely to be injured with this technology.

(Fig. 4 )

Fig. 4. – Passage of implanted device in relation to the crus, the bulbs and the dorsal neurovascular bundle showing no disruption of the clitoral bulb.

(Fig. 5 )

Fig. 5. – Demonstration of inappropriate trocar direction. Directing the insertion instrument from a more lateral position towards the contralateral labia could produce unintended clitoral bulb disruption.