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Am J Obstet Gynecol. 1992 Jan;166(1 Pt 1):83-6.

Colposcopy to establish physical findings in rape victims.

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1
San Luis Obispo General Hospital, Suspected Abuse Response Team (SART), CA 93401.

Abstract

OBJECTIVE:

Conventional rape examination protocols have been poor in yielding genital findings (10% to 30% typically). We report our experience with a revised protocol employing colposcopy to perform genital examinations of victims and to document findings.

STUDY DESIGN:

Physical examinations were performed on rape victims seen by San Luis Obispo County's Suspected Abuse Response Team between 1985 and 1990, and the results were reviewed for this study.

RESULTS:

Of 131 patients seen within 48 hours and who experienced penile penetration, 114 (87%) had positive findings. Colposcopic magnification allowed examiners to characterize these findings as acute mounting injuries, typically seen at 3, 6, and 9 o'clock on the posterior fourchette and consisting chiefly of lacerations, ecchymosis, and swelling.

CONCLUSIONS:

An examination protocol that includes colposcopy may be the most reliable means to document and characterize genital findings in rape victims and to evaluate whether findings may be linked to a reported sexual assault.

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PMID:
1733223
[Indexed for MEDLINE]

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