Академический Документы
Профессиональный Документы
Культура Документы
MANAGEMENT OF
SODOMY CASES
Kumar
Department of General Surgery
Hospital Raja Permaisuri Bainun
Ipoh
Sodomy
Anal or oral copulation with a member of the
same or opposite sex;also:copulation with
an animal
Merriam-Webster dictionary
ExplanationPenetration is sufficient to
constitute the sexual connection necessary to
the offence described in this section.
The law of the land 377B
Punishment for committing carnal
intercourse against the order of nature.
Whoever voluntarily commits carnal
intercourse against the order of nature shall
be punished with imprisonment for a term
which may extend to twenty years, and
shall also be liable to whipping.
The law of the land 377C
Whoever voluntarily commits carnal
intercourse against the order of nature on
another person without the consent, or
against the will, of the other person, or by
putting the other person in fear of death or
hurt to the person or any other person, shall
be punished with imprisonment for a term of
not less than five years and not more
than twenty years, and shall also be
liable to whipping.
Multidisciplinary
Approach
Emergency Team
Forensic Department
Surgical Department
Psychologist / Psychiatrist
Preparation
Explanation
Consent
Equipment
Personnel
Chaperone
History
Medical history
Medical problems
Medications
Allergies
Perpetrator
Drugs
History
Timing to presentation
Less than 72 hours
More than 72 hours
Objects used
Penetration
Injuries
Examination
Appropriate environment
Head to toe
Anal fissures
Haemorrhage
Examination
Scars
Examination- Acute
fissure
Chronic anal fissure
Examination
First offender
Tenderness
Oedema
Laceration and bruising around the anus
Examination
Faecal / Semen
Laceration, fissures
External Haemorrhoids
Swab form anorectal (around anal verge)
Spermatozoa/DNA
Examination
Proctoscopy
Disposable
Transparent
Detail descriptions
Detail drawings
Surgical treatment
Depends on the extent of injury
In most cases, minor abrasions/lacerations
Oral laxatives
Topical anaesthetic/steroids
Suppositories
Surgical treatment
Major injuries
Often with the use of foreign objects
Large tears may involve urethra or vagina
Requires Examination under anaesthesia
If extraperitoneal, will need defunctioning
colostomy
Definitive repair is often delayed
If intraperitoneal, will need laparotomy with
repair, often a colostomy is required
Follow Up
Outpatient
Social Rehabilitation
Psychological Counseling
Examination of Male
Genitalia
Inspection
Congenital Abnormalities
Circumcised
Testis
Presence of dried/moist secretions,
faeces,lubricants foreign materials, venereal
lesions should be documented
Collect any foreign material particularly
on the glans or in the sulcus and placed in
the appropriate envelope, which is then
labeled and sealed.
Detection of semen
Acid phosphate test non confirmatory
PSA
Sperm isolation test
Timing ; G.M.Willot J.E.Allard : Spermatozoas
Their presence after sexual intercourse (2410)
Internal/External vaginal 120h
Rectal swabs 65 h
Anal swabs -46h
Oral swabs 6 h
Thank you