Penile Mondors' disease: an underestimated pathology

Abstract

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.

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

“…If there is an index of suspicion for malignancy, for instance, further investigation and appropriate management that eliminates the tumor can prevent PMD recurrence. If the patient is known to have a coagulation disorder, treatment with anticoagulants may be indicated, particularly with respect to whether the patient is in the acute phase of PMD or not [18,43]. The evidence for anticoagulant therapy in true PMD is questionable and is not as well accepted as it is in confirmed DDVT [28].…”

Syndrome de la corde axillaire après chirurgie ganglionnaire dans un contexte de mélanome : 5 cas

“…Devant un tableau clinique classique, aucun examen complémentaire n'est nécessaire pour confirmer le diagnostic positif. Après cette forme originelle thoracique [2], d'autres localisations ont été décrites : au niveau de la verge [9], du cou [10] et du creux axillaire. Récemment, cette dernière a été décrite comme une entité à part entière, apparentée à la maladie de Mondor mais renommée « syndrome de la corde axillaire » [11].…”

“…Par exemple, Farrow considérait une poitrine large et tombante comme un facteur de risque [14]. D'autres facteurs ont été évoqués dans la littérature : un traumatisme thoracique, le port d'une charge lourde, un effort physique intense, une élongation musculaire, des injections d'héroïne dans les seins, la grossesse et le postpartum, certaines pathologies systémiques (polyarthrite rhumatoïde, lupus érythémateux disséminé) [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20].…”

Mondor's disease of the penis following a long-haul flight

“…[3][4][5][6] This activity may induce stretching or 7 Other precipitants include trauma to the genitals such as penile strangulation or injection, presence of a pelvic tumour or distended bladder, sepsis, inguinal hernia repair, deep vein thrombosis, prolonged abstinence, and contact with menstrual blood, possibly acting as an irritant. 3,4,8,9 The diagnosis is usually based on clinical findings, but Doppler ultrasound can be useful in cases of diagnostic uncertainty, where it may reveal a non-compressible distended vein. 2 The patient need not require further investigation unless clinically indicated.…”