Throbosed vein on penis and constant pain

[sam__0__0]

    
      Re: Throbosed vein on penis and constant pain
    


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Posted by HFHS M.D.-MS on March 11, 1998 at 09:42:53:

In Reply to: Throbosed vein on penis and constant pain posted by sam on March 06, 1998 at 21:39:37:
  Over 4 months ago, I began to experience a soreness, at times a pain,
  in the penis. I noticed a small bump on the shaft which urologists
  have diagnosed as a thrombosed vein.Around the same time, the long vein
  which runs along the length of the penis started to bulge out and ache.I/
  surmise that a trauma occurred in the wake of a series of sexual encounters in which too much pressure was manually exerted onto the penis.
  
  Any contact with the thrombosed vein or the long protruding vein
  causes great discomfort.Not only does sex or masturbation seem to aggravate
  matters, but it seems every daily act( walking, sitting, wearing
  pants or underwear) causes friction  and thus pain to the penis.
  There has been no improvement whatsoever. In fact, things seem to be getting more bothersome. The doctors I saw told me to wait 6 months to
  see if things heal. If not,they said they can remove the thrombosed vein. Will this alone
  resolve all the problems and return me to my former state ? Is there
  anything I can take or do to help clear up the clot and ease the vein
  that is bulging out painfully ? One doctor told me aspirin could help.I  have taken it  for several weeks  and cannot believe
  it is safe to keep taking aspirin like this. Should I abstain
  from sex and masturbation for a few months to help things heal ? Any help will be much appreciated.
============================================================
Sam thanks for your questions.
A thrombosed penile vein is an infrequent diagnosis.  Mondor’s disease, thrombophlebitits of the penis, has been described in the literature, although it is quoted as being painless or only slightly painful. Antiinflammatory agents, including aspirin, and rarely surgery are treatment options.   I would see my doctor again and reconsider the diagnosis or proceed with removal of the vein. In the  meantime abstinence will not hurt and may help if you have been reinjuring the area. Here is an abstract I found on the subject:
Superficial dorsal penile vein thrombosis (penile Mondor's disease).
International Urology & Nephrology. 28(3):387-91, 1996.
Ozkara H. Akkus E. Alici B. Akpinar H. Hattat H .
In our center between 1992 and 1994 penile Mondor's disease (superficial
dorsal penile vein thrombosis) was diagnosed in 5 patients aged 20-39
years. In all patients the thromboses were noted 24-48 hours after a
prolonged sexual act with or without an intercourse. the main symptom
was a cord-like thickening of the superficial veins, which were painless
or slightly painful. Doppler examination of the superficial dorsal vein
revealed obstruction of the vessels. In 2 patients the retroglandular
plexus was also involved. Patients were treated with anti-inflammatory
medications (Tenoxicam or Ibuprofen). The resolution of the thrombosis
occurred uneventfully within 4-6 weeks. No recurrence or erectile
dysfunction was noted in any of the patients. Penile Mondor's disease is
a benign pathology of the superficial dorsal penile vein and should be
taken into account in the differential diagnosis of penile pathologies.
This information is provided for general medical education purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568). We can also arrange local accommodations through this number if this is
your need. Please bring any physicians’ notes and lab test results that
you may be able to obtain. These will help us greatly.
Sincerely;
HFHS-M.D. MS
* Keyword: penile trauma, thrombosed penile vein