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Lesión genital - Treatment

Nombres alternativos

Lesión en los genitales; trauma del escroto; lesión por posición a horcajadas; lesión en el asiento del inodoro.

Primeros auxilios:

1. Brindar seguridad a la víctima y tratar de que mantenga la calma. Al administrar los primeros auxilios, ser sensible ante la privacidad de la víctima y resguardar el área lesionada.

2. Para controlar el sangrado, aplicar presión directa, colocando un trozo de tela o un vendaje estéril sobre cualquier herida abierta. Si la vagina está sangrando profusamente, se debe cubrir el área con una gasa estéril o con trozos de tela limpios, a menos que se sospeche de un objeto extraño.

3. Se deben aplicar compresas frías para ayudar a reducir la hinchazón.

4. Si la lesión fue en los testículos, sosténgalos con un cabestrillo hecho con toallas en forma de pañal.

5. Si hay un objeto extraño incrustado en un orificio o herida del cuerpo, no debe tocarse, pues el retirarlo puede causar mayores daños.

6. Buscar ayuda médica.

No se debe:

  • Ignorar la posibilidad de un sangrado interno.
  • Ofrecer opiniones personales sobre las circunstancias.
  • Acusar ni confrontar con la víctima.
  • Alterar ni tocar posibles evidencias de una agresión física o abuso, a menos que exista una emergencia médica. Si se sospecha de una agresión física o de un abuso sexual, no se debe permitir que la víctima se cambie de ropa ni que se bañe.
  • Permitir que la víctima camine, a menos que sea absolutamente necesario.
  • Intentar retirar el objeto extraño sin ayuda.

Se debe buscar asistencia médica de emergencia si:

  • Hay cualquier dolor o hinchazón en el área genital.
  • El objeto extraño es cortante.
  • Hay sangrado.
  • Existe la sospecha de un abuso sexual.
  • El paciente es incapaz de orinar.
  • Se presenta orina sanguinolenta.
  • Reviewed last on: 9/30/2009
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Gerber GS, Brendler CB. Evaluation of the urologic patient: History, physical examination, and the urinalysis. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 3.

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