Penile Mondor disease - dorsal penile vein thrombophlebitis


Superficial dorsal penile vein thrombophlebitis or penile Mondor disease (PMD) is usually attributed to various causes. The main one of these is excessive or forceful sexual intercourse. Others may include penile trauma, infections (syphilis, candida), surgical manipulation, pelvic cancers, cancer-associated thromboembolism and hypercoagulable state.

It usually occurs in young adults, presenting with redness, swelling and throbbing pain with painful erection.

The MR signal intensity varies depending on the age of the thrombus. This patient presented in the subacute stage with a hyperintense luminal defect on all sequences.

PMD is a self-limiting condition, usually with spontaneous resolution in 6-9 weeks after onset of symptoms.