Penile Mondor’s Illness (PMD) is a uncommon situation that entails thrombophlebitis (irritation of the veins that may result in blood clots) within the penis. Often, it happens within the superficial dorsal vein, which is situated alongside the highest of the penis. Whereas it may be aggravating, PMD will not be a severe or dangerous dysfunction, and it usually resolves by itself.
What are the signs of Penile Mondor’s Illness?
The most typical signs of PMD are:
- A cord-like vein beneath the pores and skin on the prime of the penis (often between 1-4 inches lengthy)
- Fixed or transient ache within the penis
- Ache throughout erections
- Penile swelling
- Reddening of the pores and skin
- Bother urinating
What causes Penile Mondor’s Illness?
Consultants imagine that genetics could play a task in PMD. Nevertheless, it’s so uncommon that the underlying causes are nonetheless being explored. Potential causes of PMD usually contain trauma to the penis or an infection, and signs could seem 24-48 hours after a triggering occasion resembling forceful, vigorous intercourse. Doable causes or contributing components embrace:
- Extended, intense, or frequent sexual exercise
- Lengthy-term abstinence adopted by vigorous sexual exercise
- Penile trauma
- Use of a vacuum erection gadget
- Blood stasis (the slowing or pooling of blood) from a protracted erection or extended sitting
- Urogenital infections
- Prostate or bladder most cancers
How is Penile Mondor’s Illness recognized?
PMD is an unusual, although seemingly underdiagnosed situation. Typically, it could be mistaken for an additional extra severe medical dysfunction. Nevertheless, an knowledgeable well being care supplier ought to be capable to precisely diagnose PMD by a bodily examination after which verify this analysis with a Doppler ultrasound.
For the bodily examination, essentially the most obvious signal of PMD can be the hardened, cable-like vein on the prime of the penis. The ultrasound would then be capable to present the approximate velocity and path of the blood circulation within the penis, revealing gradual blood circulation within the dorsal vein of sufferers with PMD.
How is Penile Mondor’s Illness handled?
Thankfully, PMD usually goes away by itself with out remedy. Nonetheless, it is strongly recommended that PMD sufferers chorus from sexual exercise till their signs subside. Different remedy choices are geared toward lowering ache and irritation and should embrace topical anti-inflammatory lotions or oral therapies. In very extreme long-term instances, surgical procedure to take away the blood clot could also be beneficial, however this isn’t frequent.
References:
Özkan, B., & Coşkuner, E. R. (2022). What We Know About Penile Mondor’s Illness. Sexual Drugs Critiques, 10(3), 403-408. DOI: https://doi.org/10.1016/j.sxmr.2021.12.006