Doença de Mondor peniana: a propósito de um caso

Abstract

Introduction

Thrombosis or thrombophlebitis of the superficial dorsal vein of the penis (TSDVP) is an uncommon condition which may be associated with important psychological distress, both to the patient as well as his relatives. It was first described by Mondor in 1939 as thrombosis of the superficial thoracic veins, and years later, Helm and Hodge described it as an isolated penile vein thrombosis.

Case report

A 64 year‐old man going through chemotherapy in our Hospital due to a stage IV bladder tumour was assessed for possible orchiepididymitis. After a thorough physical examination we found a dorsal cord‐like structure on the penis, without associated pain or swelling. We reviewed the physiopathology of the condition and its treatment.

Discussion

Penile Mondor's disease is a rare yet benign clinical entity with a fairly simple diagnosis. Patients feel the superficial vein of the penis like a hard rope and may complain of pain and local swelling. The appropriate treatment should be as conservative as possible, leaving the surgical option as a last resource.

Conclusion

TSDVP is a rare condition, nevertheless Urologists should know its main features in order to achieve correct diagnosis and treatment. We think Doppler ultrasonography is an important diagnostic tool, especially if in doubt. Sexual activity should be restricted and anti ‐ inflammatory and anti ‐ coagulant drugs prescribed. The surgical resection of the thrombosed vain may be an option in refractory cases.