[Sexual abuse: epidemiological, clinical aspects and management at gynaecological and obstetrical department of Dakar University Hospital].
OBJECTIVE
To carry out the epidemiological and clinical characteristics of supposed victims of sexual abuse and to evaluate case management.


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.


CONCLUSIONS
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.
Faye Dieme
M E
ME
Clinique gynécologique et obstétricale du centre hospitalier universitaire de l'hôpital Aristide-le-Dantec de Dakar, avenue Pasteur, BP 3001, Dakar, Sénégal. mefdieme@caramail.com
Traore
A L
AL
Gueye
S M K
SM
Moreira
P M
PM
Diouf
A
A
Moreau
J-C
JC
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002648:Child; D019548:Crime Victims / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology; D006785:Hospitals, University; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D018873:Pregnancy Rate; D011446:Prospective Studies; D012675:Senegal / Q000453:epidemiology; D012742:Sex Offenses / Q000706:statistics & numerical data*; D014621:Vagina / Q000293:injuries