We give you access to leading-edge treatments and clinical trialsthat aren’t widely available. In addition, we have established the eighth fellowship program in the nation dedicated solely to teaching physicians how to care for men’s health. A color Doppler ultrasound is an imaging test that uses sound waves to show blood moving through blood vessels.
The 34-year-old patient reported moderate pain felt on the surface of the penis. During the medical interview, the patient did not admit significant risk factors for Mondor does boric acid kill good bacteria Disease, apart from the previous, a month earlier COVID-19 disease. Examination revealed swelling erythema and a thick indurated cord on the surface of the penis.
Early and accurate diagnosis increases efficiency of the medical treatment and limits necessity of the surgical options. In this respect, a well performed physical examination and knowing findings of color Doppler US exam is of great importance in early diagnosis and treatment. Problems such as anxiety and sexual dysfunction may occur in the patients with penil Mondor’s disease. Thus accurate and rapid diagnosis and treatment is of great importance.
A traditional Chinese medicine pill made of four different herbs, called Hulisan tablets, has also historically been used to treat phlebitis. Although lab studies show the herbs have medicinal potency, there have been no studies confirming their effectiveness for phlebitis. With strict editorial sourcing guidelines, we only link to academic research institutions, reputable media sites and, when research is available, medically peer-reviewed studies. Note that the numbers in parentheses (1, 2, etc.) are clickable links to these studies.
It revealed that there was no flow through the vessel in the middle of the superficial dorsal penile vein (Figs.1,2). Furthermore, the deep dorsal penile vein was invisible without flow in both sections, probably due to the vessel clot above compression. The results of the laboratory tests did not reveal any significant signs of prothrombotic state . Thereafter, the vein diminishes in painfulness over a period of 3 to 4 weeks as a result of either recanalization or complete obliteration of the vein by phlebosclerosis and hyalinization.
There are several gene mutations linked to PMD that can place a person in a hypercoagulative state . This includes the aforementioned antithrombin III deficiency as well as protein S deficiency, protein C deficiency, factor V Leiden mutation, and PT mutation. The first case of Mondor’s disease isolated to the penis was described in 1958 and was subsequently dubbed PMD. Penile Mondor’s disease is one manifestation of Mondor’s disease, a condition first described by French physician Henri Mondor in 1939.
The indurated cord could be followed up superiorly and it had extended into his pubic hair region by 2 to 3cm. Upon palpation, the cord was tender and the overlying skin was completely intact with no evidence of erythema. There was no evidence of lymph node enlargement or hernia within his groins.
On the basis of the patient’s history and physical exam, he was diagnosed with penile Mondor’s disease. The patient was advised to refrain from sexual activity and was prescribed nonsteroidal anti-inflammatory drugs as needed for pain management. He was extensively counseled that he would not experience any long-term sequelae but that the mass may be present for anywhere between 3 weeks and 6 months.
The differential diagnoses of Mondor’s disease of the penis does include sclerosing lymphangitis, Peyronie’s disease, and fractured penis . B) Anti-inflammatory medicaments are useful for the treatment of acute discomfort, but they do not affect the rate of resolution of the disease. 4) Doppler ultrasound scan of the penis is useful with regard to the confirmation of the diagnosis of Mondor’s disease of the penis. 3) In their opinion Mondor’s phlebitis of the penis or Mondor’s disease of the penis are better terminologies to describe the disease instead of non-venereal sclerosing lymphangitis. It has been documented that clinical examination of the penis in cases of MDP would tend to show a lesion upon the dorsum of the penis that tends to measure between 2 cm and 10 cm in length [2-10]. It has been stated Colour Doppler ultrasound scan of the penis is the key investigation that tends to be used to differentiate MDP from non-venereal sclerosing lymphangitis .
The process of healing and recovery lasts about eight weeks on average. The most important conditions in the differential diagnosis are Peyronie’s disease and sclerosing lymphangitis. Both physical examination and color Doppler US reveal that the hardness is not on the tunica albuginea. Color filling and flow-spectrum are not observed in the lumen in the color and spectral examination of the penile dorsal vein.
