Hospital Kuala Lumpur (HKL) general surgeon Dr Mohd Razali Ibrahim told the court in the Anwar Ibrahim sodomy trial that while he was examining complainant Mohd Saiful Bukhari Azlan&rsquo;s anal region, he noticed the rectum region was empty.


 Dr Razali made the startling revelation while he was being cross-examined by defence lawyer Sankara Nair.


 Saiful had earlier told the court that he
 <a href="http://www.malaysiakini.com/news/123750" target="_blank">
 
 did not defecate for two days
 
 </a>
 after the alleged sodomy incident.


 
 


 Sankara:

Did you look at the rectum?

 
 Dr Razali:
 
 Yes.


 
 Sankara:
 
 Was it empty?


 <img align="right" alt="sankara nair bukit aman teresea kok isa arrest pc 170908 01" height="264" src="https://i.malaysiakini.com/143/1e25d093c05ac14e59aaf0114f6f102d.jpg" width="200"/>
 
 Dr Razali:
 
 Yes, the rectum was empty, but I did not put it down on my report.


 Sankara (
 
 right
 
 ) had earlier asked Dr Razali whether questions were posed on Saiful's bowel habits as it would be important to know how many times a person goes to the toilet, but the witness said it was not necessary to do so.


 &ldquo;It depends, you may not have to ask his (medical) history and do the examination yourself. You can ask then or get it later (after the examination). It depends on the situation,&rdquo; he said.


 
 
 Uncertainty in Pusrawi examination
 
 


 There was also confusion when Sankara asked Dr Razali whether the HKL doctors had checked if there was any instrument used during Saiful's earlier examination at the Pusrawi Hospital.


 <img align="right" alt="Hospital Pusrawi 280708.jpg" height="225" src="https://i.malaysiakini.com/134/51c9f59b188c105c3614bb977175bbf1.jpg" width="300"/>
 Looking at a copy of the
 
 <a href="http://www.malaysiakini.com/news/87402" target="_blank">
 Pusrawi medical report
 </a>
 
 , Dr Razali said that Saiful had complained of pain in his anus &ldquo;when passing motion&rdquo; but later pointed out that the words &ldquo;passing motion&rdquo; were crossed out.


 &ldquo;This is something which we heard initially (when being briefed), when Saiful's (medical) history was related.&rdquo;


 Saiful had earlier went to Hospital Pusrawi for a medical examination a few hours before going to HKL.


 When asked whether he had asked Saiful on instruments being used during the Pusrawi examination, the witness said some instruments were used.


 &ldquo;However, I did not ask what instrument was used,&rdquo; he said, adding that he agreed with the lawyer that such questions were important and should have been posed to Saiful.


 &ldquo;I agree that it this is not a good practise.&rdquo;


 The witness also informed the court that although Saiful told the doctors a lubricant was used during the alleged sexual act, no test was performed to verify its existence.


 
 
 
 




 Unable to insert proctoscope the first time


 During the court hearing, Dr Razali explained how Saiful was examined - the patient was asked to lay down on his left with his knees raised.


 "Both knees were brought together to the chest to provide better exposure," he said.


 The witness related that he took samples of Saiful's perianal area first before using a lubricant to insert the proctoscope inside Saiful's anus.


 <img align="right" alt="NONE" height="276" src="https://i.malaysiakini.com/265/90791893cb5e6655caf8cc4fcfbb83eb.jpg" width="260"/>
 &ldquo;The HKL's proctoscope measures 6.5cm and a lubricant was placed. I explained the procedure to Saiful and the proctoscope was inserted.


 Sankara then showed the doctor a proctoscope and asked whether the one used was the same.


 "No, mine is longer than yours," said Dr Razali to chuckles from those in the public gallery.


 Dr Razali said that he put the saline solution - as in the normal drips used in hospital - on the proctoscope.


 He was unable to insert the proctoscope and fearing further injury to Saiful's anus and rectum, he applied lubricant on the proctoscope.


 &ldquo;I inserted the proctoscope on the first attempt and he did not complain of any pain. I took samples &ndash; two from the high rectum and one from the low rectum,&rdquo; he said.


 When asked by Sankara whether any photographs were taken when he performed the procedure, Dr Razali said &ldquo;no&rdquo;, as pictures were only taken on the scars found on Saiful.


 He agreed with the lawyer that he was not forensically trained to do such procedures.


 
 
 Injury to anus
 
 


 Dr Razali also said he did not do a physical examination on Saiful's anus, although he agreed this could be done without the use of the proctoscope as he was using sterile gloves all the time.


 He also told the court that there could be varying degrees of trauma or injury to the rectum/anal area depending on the force used.


 When asked what are the common causes for pain in the anus, Dr Razali said common infection to the perianal area, disease to the anal/rectum area and possible injury to the area.


 The witness agreed that if there was non-consensual sex, it would also result in injury to the anus.


 <a href="http://www.malaysiakini.com/news/146615" target="_blank">
 
 Sodomy II: Karpal continues grilling HKL doc
 
 </a>


 <a href="http://www.malaysiakini.com/news/146690" target="_blank">
 
 Defence seeks to cast doubts over medical report
 
 </a>

Dr Razali made the startling revelation when he was being cross-examined by defence lawyer Sankara Nair.


Saiful's rectum was empty, says doctor

~RM12

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