Acta Medica Medianae
IMPORTANCE OF THE ANAL MANOMETRY IN THE JUDICIALMEDICAL EXPERTISE OF THE ANAL PENETRATION
Jelica MILJKOVIĆ and Dušan MILJKOVIĆ
Country Court, Kruševac, Medical Center, Varvarin
The forceful anal penetration can leave as a consequence a lasting damage of the anal sphincter function. The anal manometry is one of the methods that, in an indirect way, by measuring the pressure in the anal channel, may determine the existence of the anus-closing muscles' function damage. The importance of the anal manometry application as an objective indicator of a possible damage of the anal sphincter function is presented in the cases of the judicial-medical expertise of the anal penetration. Three cases of criminal acts of sexual abuse and rape in which the judicial-medical expertise by the anal manometry method was applied are analyzed. The anal manometry method is reliable in determining the functional state of the external and the internal anal sphincter and it should be accepted as obligatory in diagnostics and verification of the anal penetration.
Key words: anal penetration, anal manometry, sexual abuse