Polat Haci, Yucel Mehmet Ozgur, Gok Alper, Benlioglu Can, Cift Ali, Sarica Mehmet Akif
Department of Urology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
Department of Radiology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
Urol J. 2015 Apr 29;12(2):2096-8.
Penile Mondor’s disease (superficial thrombophlebitis of the dorsal vein of the penis) is a rare clinical diagnosis. It is an easily diagnosed and treated disease. Nevertheless, when reviewing the literature, we considered that unnecessary tests are carried out for diagnosis. In this study, we aimed to indicate the redundancy of Doppler ultrasonography for diagnosis of penile Mondor’s disease.
Seven patients with the clinical presentation of penile Mondor’s disease were included in the study. In the first two patients, penile Doppler ultrasonography was performed for diagnostic purposes by applying a vasoactive intracavernosal agent. This diagnostic procedure was not implemented in the next five patients.
Physical examinations revealed cord-like thickening lesions on dorsal and dorsolateral penis. In the first two patients, who penile Doppler ultrasonography with an intracavernosal vasoactive agent was used for diagnostic purposes, was developed priapism. We did not use penile Doppler for more patients as this would be unethical according to us.
Recovery from penile Mondor’s disease is usually spontaneous and smooth. A simple physical examination is sufficient for diagnosis, and palliative treatment is effective. For the diagnosis of this disease, unnecessary tests should be avoided so that patients are not harmed.
阴茎蒙多氏病（阴茎背浅静脉血栓性浅静脉炎）是一种罕见的临床诊断疾病。它是一种易于诊断和治疗的疾病。然而，在查阅文献时，我们认为在诊断过程中进行了不必要的检查。在本研究中，我们旨在指出多普勒超声检查在阴茎蒙多氏病诊断中的冗余性。
本研究纳入了7例临床表现为阴茎蒙多氏病的患者。在前两名患者中，通过应用海绵体内血管活性药物进行阴茎多普勒超声检查以用于诊断目的。在接下来的5名患者中未实施该诊断程序。
体格检查发现阴茎背侧和背外侧有条索状增厚病变。在前两名使用海绵体内血管活性药物进行阴茎多普勒超声检查以用于诊断目的的患者中，发生了阴茎异常勃起。我们没有对更多患者使用阴茎多普勒检查，因为我们认为这样做不符合伦理道德。
阴茎蒙多氏病通常可自发且顺利恢复。简单的体格检查足以进行诊断，姑息治疗有效。对于这种疾病的诊断，应避免进行不必要的检查，以免对患者造成伤害。
