TITLE:
Epidemiological Clinical Aspects and Medical Management of Sexual Assault in the Region of Ségou in Mali
AUTHORS:
Tidiani Traoré, Thierno Boubacar Bagayoko, Alpha Sanogo, Sory Ibrahime Koné, Seydou Traoré, Kassoum Sidibe, Bréhima Donigolo, Bréhima Doumbia, Seydou Z. Dao, Famakan Kane, Adama Bah, Seydina Alioun Beye, Amadou Bocou, Seydou Fané, Yossuf Traoré, Ibrahim Téguété
KEYWORDS:
Aspects, Sexual Assaults, Epidemio-Clinics, Management, Segou
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.3,
March
29,
2022
ABSTRACT: Introduction: Sexual assault is an act of a sexual nature
perpetrated on another person without their consent. Goal: To describe the epidemio-clinical aspects and the medical management of
sexual assault in the Segou region. Methodology: This was a retro-prospective descriptive study from September 2010 to September 2018 on thealleged female victims of sexual
assault registered in the Gynecology
and Obstetrics departments of the hospital and the sanitary quarters of Ségou. Results: We recorded 107 cases of sexual assault out of
47,729 gynecological consultations, representing a hospital prevalence of 0.22%.
The victims were between 10 and 15 years old
in 48.59% of the cases. Students were the
most represented with 53.27% (57/107) of cases. Genito-genital contact was recorded in 90.65% (97/107) of cases. Vulvo-perineal lesions were present
in 44.86% (48/107) of survivors. Hymenial deflowering
was the most frequent traumatic
genital lesion accounting
for 43.70% (21/48) of old cases and 27.00% (13/48) of recent cases. Sexual assault was committed by a single individual in
60.75% (65/107) of cases and by a friend of the victim in 21.5% (23/107) of
cases. The survivors had consulted within 24 hours of the sexual assault in
53.27% (57/107) of the cases, the treatment was medical in 68.22% (73/107) and
medical-surgical in 4.7% (5/107), post-exposure
prophylaxis to the Human Immunodeficiency Virus (HIV) was performed in only
26.16% (28/107) of survivors. Conclusion: Sexual assault remains a
concern although its frequency is low. This scourge mainly affects children and
adolescents, and the lesions are mainly genitals.