This publication [1] serves as a handbook for prosecutors working with medical evidence and Sexual Assault Nurse Examiners (SANE) in cases of violence against adult victims of sexual assault.   This monograph provides prosecutors with an understanding of how SANEs focused on patient care and appropriate support services and referrals, rather than a specific investigative agenda can positively impact victim engagement in the criminal prosecution of their perpetrator.  A glossary of commonly used terms used in medical examination reports is also included.