Ces Urol 2018, 22(2):122-125 | DOI: 10.48095/cccu2018016

Mondor's penile disease - our results

Jiří Ladman^1,2, Marek Koch², Radka Bulínová², Miloš Miniberger³

¹ Urologické oddělení, Nemocnice České Budějovice, a. s., České Budějovice

² Urologické oddělení, Nemocnice Písek, a. s., Písek

³ Radiodiagnostické oddělení, Nemocnice Písek, a. s., Písek

Mondor's disease is a rare type of thrombophlebitis affecting the superficial veins, mainly with fibroproduction. It is characterized by a palpable rigid and usually painful stripe affecting the vein. It is more common in females, where it is located mainly on the breast, it is a rare disease in men, when it is mainly present on the penis area. The aetiology of the disease is based on Virchow's triad (trauma of the vascular wall endothelium, blood stasis and hypercoagulable state).

Aim: The aim of our work is to summerise our experience with diagnosis and treatment of patients in our out-patient department in the last three years.

Patients and methods: Seven young men were included. Diagnosis was based on patient´s history, physical examination, and ultrasonography by using color Doppler scan. All men were referred to haematology for exlusion of coagulopathies.

Results: The disease had a benign course and its treatment was mainly conservative and outpatient. In two cases there was a recurrence of thrombophlebitis.

Conclusion: The lenght of therapy was based on a clinical finding with repeated checks, with both antibiotic prophylaxis and anticoagulants in our patients. Only four patients had haematological examinations, and an increased factor VIII activity was found in three. Treatment and reassessment of patients was impaired by poor compliance.

Keywords: Mondor disease, thrombophlebitis, vena dorsalis penis superficialis, elevated activity of factor VIII.

Received: March 5, 2018; Accepted: May 10, 2018; Prepublished online: June 19, 2018; Published: June 27, 2018