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Thrombosed vein in penis? Please help!

by justchecking1234, Nov 11, 2008 03:17PM
Dear Doctor,
I am a divorced, 45 year old male who usually mastrubates a couple times a week.
A couple of weeks ago, after masturbating, I noticed a small "string like" lump in the shaft of my penis, on the top, near the head.  It's blueish in color (like a varicose vein) and is about 1/4" long and 1/16" wide.  It can be felt if my penis is erect or not.  I notice a slight itching or burning sensation at that spot after masturbation, or if my penis is pinched in my underwear.
After doing some internet research I believe what I may have is a throbosed vein on my penis.
I have read this described many times as a "string like" lump, but I haven't read any mention of color.
Do the above symptoms sound like a throbosed vein, or might it be something else?
If it is, is there anything I can/or should do to make it go away?
Should I refrain from masturbation completely until it goes away?
Any advice you can offer would be greatly appreciated.
Thank you,
T.
Member Comments (2)

by DrSylvesterMD, Nov 12, 2008 03:19PM
To: justchecking1234
Thanks for your questions.
A thrombosed penile vein is not a common diagnosis. Also called as Mondor’s disease is thrombophlebitis of the penis; described as a painless or only slightly painful. 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. Antiinflammatory agents, including aspirin, and rarely surgery are treatment options. Tenoxicam or Ibuprofen may be helpful if it does get painful. At times resolution of the thrombosis occurs uneventfully within 4-6 weeks. No recurrence or erectile dysfunction is usually noted. 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. 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 re-injuring the area.
Regards,
Dr Sylvester MD

by justchecking1234, Nov 15, 2008 12:02PM
To: Dr Sylvester
Thanks for the reply Doc.
I went to see my family doctor and he said that it looked and felt like a thrombosed vein.
And he said that as long as it wasn't causing too much discomfort, just to leave it alone and it should take care of itself.
Again, thank you very much for your time.
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