Role of ultrasonography with color-Doppler in diagnosis of penile Mondor's disease

Periurethral abscess associated with deep dorsal vein thrombosis in a young male with cystolithiasis

A case of periurethral abscess with an underlying deep dorsal vein thrombosis in a 35- year-old-male with a large bladder calculus is reported. The patient received antibiotics, a topical heparinoid, and underwent open cystolithotomy. The abscess drained spontaneously as the patient refused surgical intervention. He recovered with no penile deformity and maintained erectile function at 6 months from discharge.

Penile Mondor's disease after anterolateral retroperitoneal approach for lumbar fracture

This is a rare case of thrombosis of the dorsal vein of the penis (Mondor’s disease) occurred after an anterior-lateral retroperitoneal approach for a vertebral stabilisation in thoracolumbar vertebral fracture. Potential causes are traumatism, neoplasms, excessive sexual activity or abstinence. Although penile Mondor’s disease is a clinical diagnosis, ultrasound imaging is the gold standard to confirm it. In the reported case, 1 week after neurosurgical retroperitoneal procedure of vertebral stabilisation, the patient complained of a painful cord-like mass midshaft of penis. The diagnosis was made by clinical evaluation and ultrasound images. After 2 weeks of therapy with enoxaparin sodium, the patient recovered. The authors report this case evaluating the possible correlation between the anterior-lateral retroperitoneal approach and the development of the rare Mondor’s disease.

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

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.