Mondor Meets Trendelenburg: Penile Vein Thrombosis after Varicose Vein Surgery

McLaren, Andrew; Riazuddin, N; Northeast, A.

doi:10.1177/014107680109400611

Cited by 7 publications

(10 citation statements)

References 5 publications

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“…In 20% of cases, the SPDV drainage is unilateral, and this variation presumably increases the risk of venous occlusion. 2,5,7 In our case, only the right SEPV drained the SDPV, and the extension of the thrombus from the SDPV into the SEPV over its entire course to the confluence with the right long sapheneous vein was shown on color Doppler sonography.…”

mentioning

confidence: 50%

“…Thrombosis of the SDPV was originally described as a variant of Mondor disease, which is superficial venous thrombosis of the anterolateral thoracoabdominal wall. 1,2 Mondor disease of the penis is a rare entity, with reported incidence of 1.39%. 3 It has been considered an underestimated condition because it is a self-limiting process, and most patients do not consult a physician because of fear and embarrassment, and many cases have not been diagnosed correctly.…”

Section: Discussionmentioning

confidence: 99%

“…3 It has been considered an underestimated condition because it is a self-limiting process, and most patients do not consult a physician because of fear and embarrassment, and many cases have not been diagnosed correctly. [2][3][4][5] Mondor disease of the penis presents with a cordlike induration, which is often painful in the dorsal aspect of the penis. Although it is a selflimiting process, various treatment modalities such as antibiotics, anticoagulant drugs, antiinflammatory agents, and local heparin creams have been proposed in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…The venous outflow of the skin and subcutaneous tissue superficial to the Buck fascia of the penis is through the SDPV into the right or left SEPV, or both, and then into the long saphenous vein at the groin. 2 An anomalous course of an SEPV, passing through the inguinal canal, was also reported in the literature. 13 Therefore, it is possible that bilateral ligation surgery of the tributaries of the saphenofemoral junction for lower limb varices, surgical procedures in the inguinal region such as inguinal hernia repair, and thrombosis at the saphenofemoral junction affecting the confluence of the SEPV may interrupt the superficial venous drainage of the penis, with consequent venous stasis and thrombophlebitis.…”

mentioning

confidence: 81%

See 3 more Smart Citations

Superficial Dorsal Penile Vein Thrombosis (Mondor Disease of the Penis) Involving the Superficial External Pudendal Vein

Conkbayir

Yanık

Keyik

et al. 2010

Journal of Ultrasound in Medicine

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mentioning

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 81%

See 2 more Smart Citations

Superficial Dorsal Penile Vein Thrombosis (Mondor Disease of the Penis) Involving the Superficial External Pudendal Vein

Conkbayir

Yanık

Keyik

et al. 2010

Journal of Ultrasound in Medicine

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“…However, possible causes of the disease have been suggested of trauma, previous surgery, sclerotherapy, malignancies, radiotherapy, bleeding coagulation problems, and inflammatory or infectious processes. Although there are few case reports, the main etiological cause is accepted as trauma, and the most common cause of penile trauma in literature is prolonged sexual intercourse (2,6,7). Studies have reported that other causes of penile trauma include vacuum devices, masturbation and compression of the penis during the surgery (8).…”

Section: Introductionmentioning

confidence: 99%

Penisin Yüzeyel Dorsal Ven Trombozunun Retrospektif Analizi

Taş¹,

Çakıroğlu²,

Arda³

2019

Yeni Üroloji Dergisi

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Penil yüzeysel venöz tromboz nadir ve az bilinen iyi huylu genital durumdur; literatürdeki en geniş olgu serileri 25 ve 30 hastayı tanımlamaktadır. Gereç ve Yöntemler: Ocak 2009 ile Ocak 2018 arasında üroloji polikliniğinde penil mondor hastalığı (PMH) tanısı ile tedavi ve takibi yapılan 23 hastanın verileri retrospektif olarak değerlendirildi. Hastalar için anamnez, yüzeyel ven renkli doppler ultrasonografi ve rutin laboratuvar analiz (kan sayımı, elektrolitler ve pıhtılaşma testleri) uygulandı. Seküel aktiviteden kaçınma NSAID, anti-koagülan ajanlar ve topical Arnica montana kullanımını içeren konservatif yaklaşım uygulandı. Tedavinin 1. hafta ve 3., 5., 8. haftalarında ve 3. ayda takip muayeneleri yapıldı. Klinik iyileşme değerlendirildi. Bulgular: Çalışmamızda hastalarımızın ortalama yaşı 42.4 (SD:11.12) medyan yaşı 44, yaş aralığı 22 ile 66 aralığındaydı. Hastaların BMI 28.5 (SD: 2.48) ve aralığı 22.91 ile 34.31 idi. Hastaların semptomlarının başlangıcı ve kabulleri arası süre ortalama 9.35 (SD: 13.42) medyanı 4 gün olup semptomlarının başlangıcı ve kabulleri arası en az süre 1 gün en uzun süre 60 gündü. Hastalarımızın tamamı peniste ağrısız palpable kord semptomu ile kliniğimize başvurmuştu. Hastalarımızın 20'sinde tromboze damar dışardan belirgindi. Tromboz çapı ortalama 3.09 ± 1.04 mm ve medyanı 3 mm (dağılım 1.8-5) idi. Tıkalı damarların çapı 1.3 ile 4.7 mm arasında değişiyordu. Standart labaratuvar testleri normaldi. 8 hastada lezyonların koronal sulkusun hemen altında sulkusa paralel sert lezyon olduğu ve diğer 15 hastada dorsal peniste cord-like lezyon olduğu görüldü. Venöz renkli doppler ultrasonografi sonuçları tüm hastalar için benzerdi. Doppler ultrasonografide yüzeyel venin lümeninde renk dolgusu ve akış spektrumu gözlenmedi. Etyolojide 8 hastada uzamış Abstract Objective: Penile superficial venous thrombosis is a rare and little-known benign genital condition. The largest series of penile superficial venous thrombosis cases in literature include 25 and 30 patients. Material and Methods: A retrospective evaluation was made of the data of 23 patients who were treated and followed up for a diagnosis of PMD in the Urology Outpatient Clinic between January 2009 and January 2018. Anamnesis, superficial vein color Doppler ultrasonography and routine laboratory analysis (i.e. blood count, electrolytes and coagulation tests) were applied to the patients. A conservative approach was provided the use of NSAIDs, anti-coagulant agents and topical Arnica Montana, and avoidance of the sexual activity. Follow-up examinations were made after 1, 3, 5, and 8 weeks and 3 months of treatment. Clinical improvement was evaluated. Results: The age of the patients in the study was mean 42.4 ±11.12 years and median 44 years (range, 22-66 years). The mean BMI of the patients was 28.5±2.48 (range, 22.91-34.31). The mean period between the onset of symptoms and presentation was 9.35±13.42 days, median 4 days, and range, 1-60 days. On presentation, all the patients had painless palpable cord symptoms. In 20 patients, the thr...

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Evaluation and Treatment of Penile Thrombophlebitis (Mondor’s Disease)

Manimala

Parker

2015

Curr Urol Rep

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Superficial penile thrombophlebitis or penile Mondor's disease (PMD) is an underreported condition that causes anxiety and embarrassment in affected men. Patients usually present with a smooth, cord-like induration on the dorsal penile shaft 1-7 days after prolonged or intensive sexual intercourse, but other presentations of disease and triggers for endothelial damage are possible. The condition is typically self-limited with expected spontaneous resolution within 4-8 weeks of initial presentation, and absolute diagnosis is usually not necessary with management including supportive care and pain control. However, when disease course is prolonged or there are concerning risk factors, it may be important to differentiate PMD from other conditions such as Peyronie's disease, hypercoagulability, blood stasis, genitourinary infection, and malignancy. History and physical are often sufficient to distinguish these conditions from PMD, but providers may employ ultrasound to assist with the diagnosis. If PMD does not spontaneously resolve, patients may be considered for thrombectomy, at which point histological analysis can confirm the diagnosis.

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Mondor Meets Trendelenburg: Penile Vein Thrombosis after Varicose Vein Surgery

Cited by 7 publications

References 5 publications

Superficial Dorsal Penile Vein Thrombosis (Mondor Disease of the Penis) Involving the Superficial External Pudendal Vein

Superficial Dorsal Penile Vein Thrombosis (Mondor Disease of the Penis) Involving the Superficial External Pudendal Vein

Penisin Yüzeyel Dorsal Ven Trombozunun Retrospektif Analizi

Evaluation and Treatment of Penile Thrombophlebitis (Mondor’s Disease)

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