Citation

Faye Dieme ME, Traore AL, Gueye SM, Moreira PM, Diouf A, Moreau JC. J. Gynecol. Obstet. Biol. Reprod. (Paris) 2008; 37(4): 358-364.

Vernacular Title

Profil epidemioclinique et prise en charge des victimes d'abus sexuels a la

Affiliation

Clinique gynécologique et obstétricale du centre hospitalier universitaire de l’hôpital Aristide-le-Dantec de Dakar, avenue Pasteur, B.P. 3001, Dakar, Sénégal.

Copyright

(Copyright © 2008, Elsevier Masson)

DOI

10.1016/j.jgyn.2007.11.002

PMID

18160231

Abstract

OBJECTIVES: To carry out the epidemiological and clinical characteristics of supposed victims of sexual abuse and to evaluate case management. PATIENTS AND METHODS: A prospective study was conducted about cases of presumed sexual abuse received at the gynaecological and obstetrical clinic department of Aristide-le-Dantec hospital from January 2003 to May 2005. RESULTS: A total of 55 cases were reported and represented 0.4% of admissions in the clinic during the period of study. Twenty percent of them (20%) were referred on judicial requisition. The mean time between sexual abuse and consultation was 15 days. Victims were 14 years old in average, nulligeste in 96.5% of cases and living in the suburban area of Dakar. The presumed "violenter" was a man of 32 years, belonging to the environment of the victim in 70% of cases (spiritual guide, joint-tenant, friend of the family...). The type of sexual assault was an unprotected genito-genital intercourse in 67.3% of cases. On the clinical plan, 70.9% of patients suffered recent genital traumatism, 54.5% genital examination showed hymeneal lesions. The HIV test was positive in two cases. During the follow-up of the patients, three pregnancies occurred and for only 9.1%, a psychological assistance was proposed. CONCLUSION: Sexual abuses represent a current sociocultural issue. Prevention required large information campaign. Early management is necessary in order to prevent the sexual transmitted diseases and psychological side effects.

Language: fr