J Am Osteopath Assoc. 2001 Apr;101(4):235-7.
Penile Mondor’s disease in a 22-year-old man.
Griger DT, Angelo TE, Grisier DB.
Lake Erie College of Osteopathic Medicine, Erie, Pa., USA. davegriger@pol.net
Penile Mondor’s disease (superficial thrombophlebitis of the dorsal vein of the penis) is an important clinical diagnosis that every family practitioner should be able to recognize. Although penile Mondor’s disease is rare, proper diagnosis and consequent reassurance can help to dissipate the anxiety typically experienced by patients with the disease. This article describes the symptomatology, diagnosis, and treatment of superficial thrombophlebitis of the dorsal vein of the penis.
[The full article is attached below.]
Br J Urol. 1996 May;77(5):729-32.
Penile Mondors’ disease: an underestimated pathology.
Sasso F, Gulino G, Basar M, Carbone A, Torricelli P, Alcini E.
Department of Urology, Catholic University of Rome, Italy.
OBJECTIVE: To report the aetiological, diagnostic and therapeutic aspects of penile Mondor’s disease treated with non-steroidal anti-inflammatory drugs (NSAIDs) or surgery. PATIENTS AND METHODS: During the last 3 years, 10 patients (mean age 35 years, range 20-57) were treated for superficial penile vein thrombophlebitis. The main aetiological factors were prolonged and excessive sexual intercourse, operations for inguinal hernia and deep vein thrombosis. All patients had noticed sudden and almost painless cord-like induration on the penile dorsal surface. Doppler ultrasonography was useful in both diagnosis and follow-up. Eight patients were treated with NSAIDs and platelet drugs. RESULTS: The mean interval to resolution of symptoms was 3 weeks. Two patients who did not respond to drug therapy underwent surgery (dorsal vein resection). CONCLUSION: Medical therapy and, when indicated, vein resection are successful and effective in treating penile Mondor’s disease.
Int Urol Nephrol. 1996;28(3):387-91.
Superficial dorsal penile vein thrombosis (penile Mondor’s disease).
Ozkara H, Akkus E, Alici B, Akpinar H, Hattat H.
Department of Urology, Istanbul University, Cerrahpasa School of Medicine, Turkey.
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.
J Urol. 1993 Jul;150(1):77-8.
Comment in:
J Urol. 1994 Aug;152(2 Pt 1):492.
The management of penile Mondor’s phlebitis: superficial dorsal penile vein thrombosis.
Swierzewski SJ 3rd, Denil J, Ohl DA.
Department of Surgery, University of Michigan Medical Center, Ann Arbor 48109.
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.