ABSTRACT
In this work, 20 anorecetive intercourse [ARI] cases of both sexes, referred to Cairo Medicolegal Department, ministry of Justice, were examined. They were compared with 10 healthy non-anorecetive subjects. Regarding the characteristics of the studied cases, 30% of males were married compared to 60% of females. Anal penetration was complete in all married cases [males and females], while it was 70% and 60% in unmarried ARI males and females respectively. There were no signs of violence in all married cases as they were cooperative with the other partner. Regarding local examination, in 80% of married female cases the anus was deeply seated compared to 70% in married males. In unmarried female cases, 670% had deeply seated anus compared to 80% form males. Funnel shaped anus was detected in 70% of ARI married female cases and 60% of ARI married male cases. It was 40% in ARI unmarried females and 80% in ARI unmarried males. The analysis of needle electromyography [EMG] mapping of the external anal sphincter of ARI subjects revealed weakness, which ranged from mild to marked at localized sites and sometimes there was generalized weakness at all sites compared to the control healthy cases