The pattern of genito-anal injuries in female sexual assault cases in Mumbai, India

Evaluation of Sexual Violence Victims: Cross-Sectional Research

“…Relevant literature reported the frequency of genital traumatic lesions between 2.4% and 47%. 9,13,14,16,17,19,21,24,[29][30][31] In the present study, there were acute genital manifestations in 4.5% of the cases. Eg et al found hymen tears in 22% of 226 cases involving girls under 15 years of age, where Maguire et al 9,31 Reported that 22.8% of the cases had hymenal tears.…”

“…33 In the present study the incidence of extra genital traumatic manifestations (19.8%-63.4%) was consistent with the rates reported in the above and other similar studies. 1,7,[12][13][14]29,30 In the present study, these manifestations were more prevalent in the group that presented within the first 3 days of the incident (19.3% vs. 7%). Similarly, Grossin et al and Maguire et al reported the said rate as 39% vs. 6.3% and 40% vs. 7%, respectively, indicative of the fact that trauma manifestations were significantly higher during the first 72 hours of the incident.…”

“…A comparison of the results of the present study with relevant studies indicated that compared to the rate (12.9%) reported in the present study, 66% of the victims consumed alcohol in the UK, 67% of the victims consumed alcohol and 4.5% used stimulants in Australia, and 12.3% in Nigeria and 4.8% in India used sedatives-drugs before the incident. 9,16,24,30 Habitual traits of societies, accessibility and prevalence of substance use affect the proportional differences in sexual offenses facilitated by drugs.…”

“…White and McLean reported that all the hymen tears were located at lower parts of the dial, with a majority (69%) at 5 o'clock-7 o'clock location, where Tyagi et al 11,25 Reported that hymen tears were most frequently located at 5 o'clock location (24.39%) followed by 7 o'clock location (19.51%), where Jaiswani et al reported that they were most prevalent (35.7%) in the 6-9 o'clock locations. Again, Suttipasit et al reported that hymen lesions were located at the lower quadrants and Astrup et al 17,30,34 Suggested that most of the anterior genital area injuries (hymen, post fourchette, fossa navicularis) located at the 6 o'clock position. In the present study, hymen tears were most frequent at the 6 o'clock location (n=15, 29.4%).…”