A case of transient lymphangiectasis of the penis

Abstract

Here, we report the case of a patient presenting with benign transient lymphangiectasis of the penis (BTLP), including its differential diagnosis and treatment. Conclusion headings: BTLP is not an uncommon pathology and diagnosis is based only on medical history and clinical examination. The differentiation between Mondor's disease and BTLP is not necessary for treatment.

Non-Venereal Sclerosing Lymphangitis of the Penis in a 35-Year-Old Saudi Male: A Case Report

“…Sclerosing lymphangitis, also known as "Non-Venereal Plastic Lymphangitis of the Penis," is a rare, benign condition first described by Hoffman in 1923 [1], where an asymptomatic swelling arises around the coronal sulcus of the penis [1,[9][10][11]. The diagnosis of sclerosing lymphangitis is often made on clinical grounds where swelling can be visualized on the penile shaft in a circumcised patient without systemic symptoms [9].…”

“…It may, however, sometimes show up farther down the penile shaft. Typically, the skin above is readily movable and free of any accompanying erosions or ulcerations [ 9 ]. Even though these lesions have no symptoms, some individuals may feel slight pain or discomfort, particularly during erection [ 4 - 8 ].…”

“…Even though these lesions have no symptoms, some individuals may feel slight pain or discomfort, particularly during erection [ 4 - 8 ]. Early diagnosis relies only on a thorough clinical examination and accurate medical history gathering; a biopsy or ultrasonography has no significance and has no bearing on the course of therapy [ 9 ]. Moreover, Sclerosing lymphangitis is a self-limiting disease that tends to regress spontaneously over two months.…”

“…Sexual abstinence, together with or without the use of non-steroidal anti-inflammatory drugs, is often recommended as a treatment. Vein stripping may be recommended as a medical intervention to treat PMD in situations of advanced illness when no improvement has been shown after 10 weeks [ 9 ].…”

“…Moreover, circumcision and sexually transmitted infections may also be causal factors [ 8 ]. Because of its asymptomatic and self-limiting nature, sclerosing lymphangitis is considered an under-reported medical condition [ 9 ].…”