Avantifiori Riccardo, Cavallaro Giuseppe, Polistena Andrea, Giordano Luca, D'Onghia Giuliano
Department of Surgery "Pietro Valdoni", Sapienza University, Rome, Italy *Email:
Qatar Med J. 2024 Jun 3;2024(3):25. doi: 10.5339/qmj.2024.25. eCollection 2024.
Penile Mondor's disease (PMD) is a rare syndrome characterized by sclerosis after superficial thrombophlebitis of the superficial penile veins. The most usual appearance of PMD is a tender, palpable, painful, and sometimes visible cord on the dorsal surface of the penis. Its pathogenesis is still unclear, and a standardized treatment has not been established.
A 54-year-old male patient presented with a left-sided indirect reducible inguinal hernia. The patient underwent Lichtenstein's procedure for inguinal hernia repair. On the tenth postoperative day, he returned with PMD confirmed by Doppler ultrasonography examination. Treatment with 4000 UI low molecular weight heparin (LMWH) daily for three weeks resolved the symptoms, but mild venous ectasia just to the proximal part of the penis remained.
The exact cause of PMD is not well understood, but various studies have identified certain factors associated with an increased risk of the condition. Out of various potential factors that could trigger PMD, the repair of an inguinal hernia has been reported only once. Treatment may involve pain management, anti-inflammatory medications, anticoagulants, and, in some cases, surgery.
PMD after open hernia repair surgery is a very rare benign condition. Correct diagnosis and prompt treatment allowed symptom resolution. Residual venous ectasia has no clinical significance other than a cosmetic appearance.
阴茎蒙多氏病（PMD）是一种罕见综合征，其特征为阴茎浅表静脉血栓性浅静脉炎后发生硬化。PMD最常见的表现是阴茎背侧出现一条触痛、可触及、疼痛且有时可见的索状物。其发病机制仍不清楚，尚未确立标准化治疗方法。
一名54岁男性患者，患有左侧可复性腹股沟斜疝。该患者接受了利chtenstein手术修复腹股沟疝。术后第10天，他因经多普勒超声检查确诊为PMD而复诊。每天使用4000单位低分子肝素（LMWH）治疗三周后症状缓解，但阴茎近端仅遗留轻度静脉扩张。
PMD的确切病因尚不完全清楚，但多项研究已确定了与该疾病风险增加相关的某些因素。在可能引发PMD的各种潜在因素中，腹股沟疝修补术仅被报道过一次。治疗可能包括疼痛管理、抗炎药物、抗凝剂，在某些情况下还包括手术。
开放性疝修补术后发生的PMD是一种非常罕见的良性疾病。正确诊断和及时治疗可使症状缓解。除了外观影响外，残留的静脉扩张无临床意义。
