This is often offered to symptomatic patients failing to improve after six weeks . A blood clot happens when red blood cells build up in your veins and block blood flow. These are most common in the penile dorsal vein on top of your shaft. On physical exam, he had moderate tenderness to palpation at the base of the dorsal penis with mild perineal swelling and a palpable subcutaneous rope-like structure along the dorsum of the penis.
The process of healing and recovery lasts about eight weeks on average. Superficial vein thrombosis was first described by Mondor in 1939 occurred subcutaneous veins of the anterolateral thoraco-abdominal wall. In 1955, Braun-Falco described penile participation and in 1958 was described by Helm and Hodge an isolated superficial penile vein thrombosis. Herein, we describe the manifestation of the disease in a 32 years old man.
If the cause of sclerosing lymphangitis is an STI, a person may require a course of antibiotics. To avoid the STI spreading to sexual partners, a person should abstain from intercourse until the STI has gone. This condition can damage penis tissues as blood pools in the spongy tissue of the penile shaft. Penile cancer happens when cancerous cells develop into a tumor in your penile shaft, resulting in a lump that can cause pain — especially when you’re erect.
An ultrasound and other tests may be used to confirm the diagnosis. Although a doctor will not usually prescribe medication for sclerosing lymphangitis, onion in sock at night they may prescribe nonsteroidal anti-inflammatory drugs. In one case study, a person took oral tiaprofenic acid to help reduce swelling and pain.
The patient reported the presence of a painful cord-like mass, beginning midshaft of the penis and extending to the base of the penis and up the pubic region, that had lasted for 1 week. The mass was first appreciated while showering and cleaning the area 1 week before presentation. The pain was described as an achy pain with a sharp/tightness element that was present with stretching, pressure, or movement while his penis was erect. The patient denied any penile discharge, concerns for sexually transmitted infections , history of STIs, pain during urination, or testicular pain. On further questioning, the patient reported having rigorous sex 12–24hrs preceding onset of symptoms, followed by a rigorous exercise routine. The patient denied performing anal intercourse or using erectile assistive devices.
Severe and persistent penile mondor’s disease requires a more advanced approach. In this case, the doctor may recommend surgery such as thrombectomy to remove the blood clot. Thrombectomy is accompanied by affected dorsal vein resection or removal. Thrombectomy with resection is carried out in an outpatient setting.