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

Abstract

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.

Penile Mondor’s Disease

“…Kavernöz arterlerde ise düşük hızlı, yüksek dirençli bir akım paterni izlenir. Ayrıca veneryal olmayan sklerozan penil lenfanjit de ayırıcı tanıda düşünülmelidir [6]. Lenfanjit katlantılı düzensiz bir durum şeklinde ele gelirken, tromboz düz bir spermatik kordon şeklinde ele gelir.…”

“…Penil Mondor hastalığı klinik olarak akut, subakut-kronik ve rekanalizasyon olmak üzere üç evrede incelenir. Akut dönemde antikoagülanlar, subakut ve kronik evrede heparin içeren kremler ve antienflamatuar ilaçlar kullanılır [6][7][8]. Antibiyotik kullanımı daha çok selülitin eşlik ettiği vakalarda ve profilaktik amaçlı kullanılır.…”

“…Antibiyotik kullanımı daha çok selülitin eşlik ettiği vakalarda ve profilaktik amaçlı kullanılır. Tıbbi tedaviye dirençli vakalarda ise cerrahi olarak trombektomi ve yüzeyel penil ven rezeksiyonu uygulanır [5,6]. Akut vakalarda antienflamatuar ajanların kullanılması hastalığın seyrine direkt katkısı olmamakla birlikte rahatsızlık hissini ortadan kaldırma açısından faydalıdır.…”

Penile Mondor’s Disease Induced by Vigorous Sexual Activity: Two Cases, Two Different Approaches

“…Antibiotic therapy should be administered when cellulitis is suspected and vein stripping may be necessary for severe, persistent cases of Mondor's disease. 1 In our first case, we administered oral and local anti-inflmmatory agents as well as cephalosporins. For patients with severe acute pain, one should remember that injection of 0.5% bupivacaine hydrochloride subcutaneously to the region surrounding the affected vein provides relief.…”

“…Etiological factors for superficial dorsal penile vein thrombosis include trauma, vigorous sexual activity, pelvic tumors and a distended bladder. 1 In 1939, Henri Mondor first described the superficial vein thrombosis on the thoracic wall. The thoracoepigastric, lateral throracic and superior epigastric veins are the most commonly involved vessels.…”