Mondor Disease - An Underdiagnosed Pathology: Case Report and Review of Literature

Abstract

Mondor penile disease is the thrombophlebitis of the superficial dorsal penile vein. The incidence is 1.39% with a prevalence of 1.4%. The most common risk factor for this entity is mechanical trauma through sexual activity. Due to its low incidence, this entity is still unknown for many physicians including urologists. Our aim is to describe the case of a 22-year-old male with a clinical and ultrasonographic diagnosis of Mondor penile disease and review the initial evaluation, pathogenesis, risk factors, diagnosis, and treatment. A 22-year-old male, whose chief complaint was a 12-h duration of pain in the dorsal face of the penis after a robust sexual activity. At physical exam, it was evident the painful in the duration of the superficial dorsal penile vein pathway. A color Doppler ultrasound was performed with evidence of low venous flow and a hypoechogenic image in the superficial dorsal vein, confirming the diagnosis of Mondor disease. He received expectant treatment, with partial recanalization 6 weeks after the event, without any adverse effect on his sexual function. Mondor disease is an undiagnosed pathology due to the fear of the patient to consult, or the medical team is unaware of the condition. Is very important to be familiarized with this pathology, so an accurate diagnosis and treatment are provided, avoiding unnecessary procedures. Is important to give education to decrease the anxiety related to the diagnosis and avoid performance issues.