Institute of Forensic Medicine, University of Southern Denmark, Odense C, Denmark.
Forensic Sci Int. 2012 Jun 10;219(1-3):50-6. doi: 10.1016/j.forsciint.2011.11.028. Epub 2011 Dec 20.
The purpose of this study was to make a normative description of the nature and duration of genital lesions sustained during consensual sexual intercourse, using the three most commonly used techniques; visualisation using the naked eye, colposcopy and toluidine blue dye followed by colposcopy.
Ninety eight women were examined within 48 h of consensual sexual intercourse. Fifty of the women were examined twice again within the following 7 days of sexual abstinence after the first examination.
The participants had a median age of 22.4 years and 88% were nulliparous. Lesions were frequent; 34% seen with the naked eye, 49% seen with colposcopy and 52% seen with toluidine blue dye and subsequent colposcopy. The lesions lasted for several days; the median survival times for lacerations were 24, 40 and 80 h, respectively.
The legal implications of these findings are that genital lesions by themselves do not corroborate a rape complaint. Genital lesions may, however, corroborate specific details of a case and should be documented as carefully as any other lesion in rape complaints.
本研究旨在通过三种最常用的技术（肉眼观察、阴道镜检查和甲苯胺蓝染色后行阴道镜检查）对自愿性行为中生殖器损伤的性质和持续时间进行规范描述。
98 名女性在自愿性行为后 48 小时内接受检查。其中 50 名女性在第一次检查后的 7 天内再次进行两次检查。
参与者的中位年龄为 22.4 岁，88%为未婚。损伤较为常见，肉眼可见 34%，阴道镜检查可见 49%，甲苯胺蓝染色后行阴道镜检查可见 52%。损伤持续数天，裂伤的中位存活时间分别为 24、40 和 80 小时。
这些发现的法律意义是，生殖器损伤本身并不能证实强奸指控。然而，生殖器损伤可能证实案件的具体细节，应像强奸投诉中的任何其他损伤一样仔细记录。
