Objectives: Specify the epidemiological characteristics and evaluate the management of victims of alleged sexual assault.
Patients and methods: This is a retrospective study of all cases of suspected sexual assault received at the Saint-Louis regional
hospital center in the period from December 1, 2015 to November 30, 2005.
Results: The number of patients was 95, or 1.8% of admissions. 92.6% of the victims were received with a judicial requisition.
The average consultation time after the assault was 10 days. The victim’s epidemiological profile was that of an adolescent girl, on
average 14 years old, without any pregnancy in 86.2% of cases. The perpetrator’s profile was that of a 32-year- old man, belonging
to the victim’s entourage in 75% of the cases (spiritual guide, roommate, family friend...). The mode of sexual abuse was genitogenital
contact in 72.7% of cases and unprotected (97.6%). Clinically, 40% of the patients had signs of recent genital trauma and
60% of the hymenal lesions were old. HIV serology returned positive in two cases. During the follow-up, three pregnancies had
occurred and only 9.1% of the victims had benefited from psychological assistance.
Conclusion: Sexual abuse is currently a real socio-cultural drama. Preventing them involves raising public awareness. Their
management must be early and appropriate in order to prevent sexually transmitted infections and psychological consequences.
Keywords: Sexual Abuse; Genital Trauma; Saint-Louis