Superficial Dorsal Penile Vein Thrombosis Research Articles

Penile Mondor's disease: Clinical and sonographic images.

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.

A report of superficial dorsal penile vein thrombosis (penile Mondor’s disease)

Nous rapportons le cas d’un jeune homme de 25 ans qui a presente une thrombose de la veine dorsale superficielle de la verge ou maladie de Mondor, une maladie rare associant une douleur et une induration de la partie dorsale de la verge, ses principales etiologies, le diagnostic, le traitement et le suivi.

Şiddetli Cinsel Aktivitenin Tetiklediği Penil Mondor Hastalığı: İki Olgu, İki Farklı Yaklaşım

Penile Mondor’s disease is a painless superficial induration due to thrombosis of penile superficial dorsal vein. Etiological factors for superficial dorsal penile vein thrombosis include trauma, vigorous sexual activity, pelvic tumors and a distended bladder. Doppler ultrasonographic evidence of thrombotic dorsal penile vein is diagnostic for penile Mondor’s disease. Two cases with Mondor's disease of the penis due to brutal sexual intercourse are reported here. The first patient’s thrombosis resolved spontaneously whereas in the second one anti-inflammatory and heparinoid agents were applied. The treatment should primarily be based on temporary sexual abstinence, and in case of no response treatment with non-steroid anti-inflammatory agents, local anticoagulants should be administered. Larger series are needed to determine whether initial observation is appropriate for all patients with penile Mondor’s disease.

Superficial dorsal penile vein thrombosis: a little‐known complication of subinguinal varicocelectomy

To describe the symptomatology, diagnosis and treatment of superficial thrombosis of the dorsal penile vein - the most common complication of subinguinal varicocelectomy - and analyse the possible mechanisms involved in the development of the condition. The clinical records of 326 patients who underwent varicocele repair during the last 10 years was reviewed. The technique used was subinguinal varicocelectomy with arterial preservation. A mini-Doppler probe was used during surgery for artery identification. We report on the postoperative complications of varicocelectomy, with special attention to superficial dorsal penile vein thrombosis, and provide a detailed description of the anatomy of the superficial venous system of the penis. Complications usually associated with varicocele surgery occurred in less than 1% of patients. However, the most common complication in our series was superficial dorsal penile vein thrombosis, which occurred in 2.1% of patients. The use of the mini-Doppler probe allowed us to identify and preserve the arteries in all 326 patients. Subinguinal varicocelectomy with intra-operative use of a mini-Doppler probe is a rapid and safe technique. The outcomes and complications are similar to those reported for subinguinal microscopic varicocelectomy. Superficial dorsal penile vein thrombosis is a benign self-limited condition whose association with subinguinal varicocelectomy has not been previously reported.

855Diagnosis, therapy and follow up — Superficial dorsal penile vein thrombosis (penile Mondor's phlebitis)

855Diagnosis, therapy and follow up — Superficial dorsal penile vein thrombosis (penile Mondor's phlebitis)

SPONTANEOUS THROMBOSIS OF THE DEEP DORSAL PENILE VEIN IN A PATIENT WITH THROMBOPHILIA

While superficial dorsal penile vein thrombosis has been associated with inherited thrombophilia, 1 and deep dorsal penile vein thrombosis following trauma 2 and thrombosis of the corpora cavernosa have previously been described, to our knowledge there are no reports of spontaneous deep dorsal penile vein thrombosis. We report such a case and discuss the functional and therapeutic issues of this disorder. CASE REPORT

Superficial dorsal penile vein thrombosis (penile Mondor's phlebitis): Ultrasound diagnosis

Superficial dorsal penile vein thrombosis (penile Mondor's phlebitis): Ultrasound diagnosis

Superficial dorsal penile vein thrombosis (penile Mondor's disease).

In our center between 1992 and 1994 penile Mondor's disease (superficial dorsal penile vein thrombosis) was diagnosed in 5 patients aged 20-39 years. In all patients the thromboses were noted 24-48 hours after a prolonged sexual act with or without an intercourse. the main symptom was a cord-like thickening of the superficial veins, which were painless or slightly painful. Doppler examination of the superficial dorsal vein revealed obstruction of the vessels. In 2 patients the retroglandular plexus was also involved. Patients were treated with anti-inflammatory medications (Tenoxicam or Ibuprofen). The resolution of the thrombosis occurred uneventfully within 4-6 weeks. No recurrence or erectile dysfunction was noted in any of the patients. Penile Mondor's disease is a benign pathology of the superficial dorsal penile vein and should be taken into account in the differential diagnosis of penile pathologies.

The Management of Penile Mondor’s Phlebitis: Superficial Dorsal Penile Vein Thrombosis

Superficial dorsal penile vein thrombosis was diagnosed 8 times in 7 patients between 19 and 40 years old (mean age 27 years). All patients related the onset of the thrombosis to vigorous sexual intercourse. No other etiological medications, drugs or constricting devices were implicated. Three patients were treated acutely with anti-inflammatory medications, while 4 were managed expectantly. The mean interval to resolution of symptoms was 7 weeks. Followup ranged from 3 to 30 months (mean 11) at which time all patients noticed normal erectile function. Only 1 patient had recurrent thrombosis 3 months after the initial episode, again related to intercourse. We conclude that this is a benign self-limited condition. Anti-inflammatory agents are useful for acute discomfort but they do not affect the rate of resolution.