1887
Volume 2024, Issue 3
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Background: Penile Mondor’s disease (PMD) is a rare syndrome characterized by sclerosis after superficial thrombophlebitis of the superficial penile veins. The most usual appearance of PMD is a tender, palpable, painful, and sometimes visible cord on the dorsal surface of the penis. Its pathogenesis is still unclear, and a standardized treatment has not been established.

Case report: A 54-year-old male patient presented with a left-sided indirect reducible inguinal hernia. The patient underwent Lichtenstein’s procedure for inguinal hernia repair. On the tenth postoperative day, he returned with PMD confirmed by Doppler ultrasonography examination. Treatment with 4000 UI low molecular weight heparin (LMWH) daily for three weeks resolved the symptoms, but mild venous ectasia just to the proximal part of the penis remained.

Discussion: The exact cause of PMD is not well understood, but various studies have identified certain factors associated with an increased risk of the condition. Out of various potential factors that could trigger PMD, the repair of an inguinal hernia has been reported only once. Treatment may involve pain management, anti-inflammatory medications, anticoagulants, and, in some cases, surgery.

Conclusion: PMD after open hernia repair surgery is a very rare benign condition. Correct diagnosis and prompt treatment allowed symptom resolution. Residual venous ectasia has no clinical significance other than a cosmetic appearance.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2024.25
2024-06-03
2024-06-19
Loading full text...

Full text loading...

/deliver/fulltext/qmj/2024/3/qmj.2024.25.html?itemId=/content/journals/10.5339/qmj.2024.25&mimeType=html&fmt=ahah

References

  1. Mondor H. [Tronculite sous-cutané subaigue de la paroi thoracique antero-laterale]. Mem Acad Chir (Paris). 1939; 65:1271–1278.
    [Google Scholar]
  2. Laroche JP, Galanaud J, Labau D, Van Kien AK, Brisot D, Boge G, Quéré I. Mondor’s disease: what’s new since 1939?. Thromb Res. 2012Oct; 130:Suppl 1:S56-8. doi: 10.1016/j.thromres.2012.08.276
    [Google Scholar]
  3. Ichinose A, Fukunaga A, Terashi H, Nishigori C, Tanemura A, Nakajima T, et al.. Objective recognition of vascular lesions in Mondor’s disease by immunohistochemistry. J Eur Acad Dermatol Venereol. 2008Feb;22 (2):168-73. doi: 10.1111/j.1468-3083.2007.02358.x
    [Google Scholar]
  4. Hoffmann E. Vortauschung primarer syphilis durch gonosshvische lymphangitis (gonorrhoischer psuedoprimaraffekt). Munch Med Wschr. 1923 70:1167–8.
    [Google Scholar]
  5. Hamilton J, Mossanen M, Strote J. Mondor’s Disease of the Penis. West J Emerg Med. 2013Mar;14 (2):180. doi: 10.5811/westjem.2012.8.13276
    [Google Scholar]
  6. Kutlay J, Genc V, Ensari C. Penile Mondor’s disease. Hernia. 2008Oct;12 (5):557-8. doi: 10.1007/s10029-008-0386-9
    [Google Scholar]
  7. Fitzgibbons R. Management of an inguinal hernia: conventional? Tension free? Laparoscopic? or may be no treatment at all. General Session of the American College of Surgeons. 86th Annual Clinical Congress, Chicago 2000.
    [Google Scholar]
  8. Braun-Falco O. Sur Klinik, Histologie und Pathogenese der strangformigen, oberflachlichen phlebitiden. Dermotol Wochenschr. 1955; 132:705–15.
    [Google Scholar]
  9. Helm J, Hodge I. Thrombophlebitis of a dorsal vein of the penis: report of a case treated by phenylbutazone (Butazolidin) J Urol1958; 79:306–307. doi: 10.1016/S0022-5347(17)66273-6
    [Google Scholar]
  10. Sasso F, Gulino G, Basar M, Carbone A, Torricelli P, Alcini E. Penile Mondors’ disease: an underestimated pathology. Br J Urol. 1996May;77 (5):729-32. doi: 10.1046/j.1464-410x.1996.97520.x
    [Google Scholar]
  11. Manimala NJ, Parker J. Evaluation and Treatment of Penile Thrombophlebitis (Mondor’s Disease). Curr Urol Rep. 2015Jun; 16:(6):39. doi: 10.1007/s11934-015-0512-z
    [Google Scholar]
  12. Al-Mwalad M, Loertzer H, Wicht A, Fornara P. Subcutaneous penile vein thrombosis (Penile Mondor’s Disease): pathogenesis, diagnosis, and therapy. Urology. 2006Mar; 67:(3):586-8. doi: 10.1016/j.urology.2005.09.054
    [Google Scholar]
  13. Rodríguez ES, Barrera ÁM, Jiménez S, HernÁndez LG. Mondor’s penile disease requiring thrombectomy: A case report and literature review. Rev Int Androl. 2022Jul-Sep; 20:(3):207-210. doi: 10.1016/j.androl.2020.10.014
    [Google Scholar]
  14. Kraus S, Lüdecke G, Weidner W. Mondor’s disease of the penis. Urol Int. 2000; 64:(2):99-100. doi: 10.1159/000030499
    [Google Scholar]
  15. Bird V, Krasnokutsky S, Zhou HS, Jarrahy R, Khan SA. Traumatic thrombophlebitis of the superficial dorsal vein of the penis: an occupational hazard. Am J Emerg Med. 1997Jan; 15:(1):67-9. doi: 10.1016/s0735-6757(97)90052-8
    [Google Scholar]
/content/journals/10.5339/qmj.2024.25
Loading
/content/journals/10.5339/qmj.2024.25
Loading

Data & Media loading...

  • Article Type: Research Article
Keyword(s): herniaLichtenstein procedurePenile Mondor’s Diseasesclerosis and thrombophlebitis
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error