Female Genital Injury Resulting from Consensual and Non-
Consensual Vaginal Intercourse at Police General Hospital
Nichaphat Kongtanajaruanun MD1, Seree Teerapong MD1, Athirat Janpanichjaroen PharmD2
Affiliation :
1 Department of Obstetrics and Gynecology, Police General Hospital, Bangkok, Thailand
2 Department of Pharmacy, Police General Hospital, Bangkok, Thailand
Objective : To determine the difference of location and pattern of genital injury between consensual and non-consensual vaginal
intercourse at the Police General Hospital, Thailand.
Materials and Methods : Retrospective review of sexual assault records at the Police General Hospital between January 1 and
December 31, 2013.
Results : Six hundred thirteen females, including 358 non-consensual and 255 consensual, were included. Most of both groups were
between 13 and 15-year-old, and single. In the consensual victims, 63.92% were assaulted by their lovers, while 30.73% of non-
consensual victims were assaulted by their friends. The non-consensual victims had higher rate of injury than consensual victims.
The location of most injuries in both groups were hymen (30.45% vs. 10.59%, p<0.000), followed by labia minora (15.92% vs.
7.06%, p = 0.001), vagina (4.19% vs. 1.96%), external genitalia (3.07% vs. 2.75%), and labia majora (1.68% vs. 1.57%). Consensual
victims did not have more injuries more than non-consensual victims (4.31% vs. 1.40%, p = 0.026). Laceration wounds were found
the most (28.49% vs. 10.59%, p<0.000) in non-consensual and consensual group. In addition, abrasions (13.97% vs. 5.88%, p =
0.001), and contusion wounds were found the least (8.94% vs. 3.14%, p = 0.004).
Conclusion : Most of the victims were 13 to 15-year-old, single, and knew the assailants. In the non-consensual group, laceration,
abrasion, and contusion wound were found more often, with statistical signi(cid:976)icance, at hymen and labia minora than in the consensual
group. An interesting point is that similar wounds were found in sexual organs of consensual or non-consensual victims. This may
help diagnose the wounds of the assaulted victims with unclear pro(cid:976)iles.
Keywords : Sexual assault, Consensual, Non-consensual vaginal intercourse
All Articles
Download