Abstract
Penile Mondor's disease or thrombophlebitis of the superficial dorsal penile vein is a rare disorder of the penis. Reported cases in the literature are mostly focal thrombus. We present clinical and sonographic images of an extensive superficial dorsal penile vein thrombosis.
Highlights
From the base of the penis to the junction of the penile shaft and the glans; there was no venous flow detected on Doppler (Figure 2A,B) in keeping with penile mondor's disease (PMD)
Management is generally medical with sexual activity restriction, anti‐inflammatory medications, and anticoagulation drugs.[2]
Surgical management is offered to refractory cases to medical treatment defined as persistent symptoms and no venous flow on Color Doppler Ultrasound (CDU) after 6 weeks of treatment, and it consists of thrombectomy and resection of the superficial penile vein.[2]
Summary
A 29‐year‐old man presented with a 1‐week history of painful penis that worsens with morning erections. He reported vigorous sexual intercourse 2 days prior to the onset of pains. Penile examination revealed an 8 cm hard cord‐like and mildly tender structure on the dorsal aspect of the penis extending from the base to the corona (Figure 1).
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