Official websites use. Share sensitive information only on official, secure websites. Introduction: Genital injuries occur in half of cases of sexual assault through digital or penile penetration as well as the use of objects. This review focuses on the evidence about surgical reconstruction of the pelvic floor anatomy of adolescents and adult women sexually assaulted during adolescence or adulthood.
Method: A systematic literature search was performed in PubMed and Orbis plus for articles published in English and German from June to June The literature search was performed in October by topic combining the following Medical Subject Headings: genital trauma, genital injuries, sexual assault, rape, surgical repair, treatment.
Results: 34 records of descriptive studies were identified and 16 full-text articles were included in the present review. Due to the limited number of articles retrieved, articles were not excluded based on methodological design. Superficial genital lesions are common and usually left untreated. For deep vaginal or anal lacerations, intraperitoneal bleeding is usually assessed by means of and additional CT scan or diagnostic colposcopy, cystoscopy, rectoscopy and laparoscopy.
Complete reconstruction of the injured is done after. To prevent rectovaginal fistula and uncomplicated primary wound healing a temporary colostomy can be performed. Conclusion: Although most of genital injuries due to sexual assault do not require any major surgical intervention, there is a lack of good quality evidence regarding the best diagnostic and surgical approach to restore deep lesions of genital organs as well lack evidence on contributors to poor wound healing.
Therefore, clinical protocols that standardize examination as well as surgical management are encouraged to be developed. Im Fall von tiefen Vaginal- bzw. Sexual assault and sexual gender violence still occur worldwide, mostly against young women and children. At high risk are also persons who are gay, lesbian, bisexual, or transgendered; physically or mentally disabled; homeless, refugees; alcohol and drug users [ 1 ]. Physical injury occurs in about half of cases and may include attempted strangulation; blunt traumatic injuries to the head, face, torso, or limbs [ 2 ].
