Mondor's Disease of the Penis: Clinical Presentation, Diagnosis, and Conservative Management.

Abstract

Abstract: Mondor's disease of the penis is a rare, benign thrombophlebitis of the superficial dorsal vein, often presenting as a painful, cord-like induration along the penile shaft. Though alarming to patients, it is a self-limiting condition that responds well to conservative management. A 54-year-old male presented with pain and swelling over the dorsal shaft of the penis for 15 days. Examination revealed a tender, cord-like induration without ulceration or discharge. Laboratory parameters were normal. Doppler ultrasonography demonstrated a dilated, thrombosed superficial dorsal vein with loss of venous flow, confirming the diagnosis of penile Mondor's disease. The patient was treated conservatively with nonsteroidal anti-inflammatory drugs, fractionated flavonoids, warm compresses, vitamin supplements, and temporary sexual abstinence. Marked symptomatic relief was observed within 2 weeks, with complete resolution of induration by 6 weeks. Penile Mondor's disease is an uncommon but self-limiting condition that can be effectively managed with conservative therapy. Early recognition, reassurance, and avoidance of unnecessary interventions are essential. Fractionated flavonoids may provide additional benefit in symptom resolution and recovery.