Our Summary

This research paper discusses a rare condition called Mondor’s penile disease (PMD), which causes inflammation and clotting in a vein on the surface of the penis. Usually, this condition clears up on its own with standard medical treatments such as anti-inflammatory drugs and blood thinners. However, the paper reports a case of a 41-year-old man whose PMD did not improve with these treatments. Doctors decided to perform surgery, which involved removing the clot and part of the affected vein. The surgery was successful. The paper also reviews other research on this topic, emphasizing that there is limited information about surgical treatments for PMD.

FAQs

  1. What is Mondor’s penile disease (PMD) and how is it usually treated?
  2. What surgical procedure is performed to treat PMD if standard treatments fail?
  3. What does the research paper suggest about the amount of information available on surgical treatments for PMD?

Doctor’s Tip

A doctor might tell a patient undergoing superficial thrombophlebitis surgery to follow post-operative care instructions carefully, including keeping the incision site clean and dry, taking prescribed medications as directed, and avoiding strenuous activities that could worsen the condition. It is important to follow up with your doctor for any concerns or complications that may arise after surgery.

Suitable For

Typically, patients who are recommended superficial thrombophlebitis surgery are those who do not respond to standard medical treatments and continue to experience symptoms such as pain, swelling, redness, and tenderness at the site of the clot. In some cases, surgery may be necessary to remove the clot and prevent further complications such as infection or the formation of a deep vein thrombosis. Patients with underlying conditions that increase their risk of developing blood clots, such as obesity, smoking, or a history of blood clots, may also be considered for surgery to prevent future episodes of thrombophlebitis. Ultimately, the decision to undergo surgery for superficial thrombophlebitis will depend on the individual patient’s symptoms, medical history, and overall health.

Timeline

Before surgery:

  1. Patient experiences symptoms of superficial thrombophlebitis, such as pain, redness, and swelling in the affected vein.
  2. Patient undergoes diagnostic tests to confirm the diagnosis, such as ultrasound imaging.
  3. Patient receives standard medical treatments, such as anti-inflammatory drugs and blood thinners, to manage symptoms and prevent complications.

After surgery:

  1. Patient undergoes surgical procedure to remove the clot and part of the affected vein.
  2. Patient may experience some pain and discomfort post-surgery, which can be managed with pain medication.
  3. Patient is monitored closely for any signs of infection or complications following the surgery.
  4. Patient may be advised to wear compression stockings and elevate the affected limb to promote healing and prevent further clot formation.
  5. Patient follows up with healthcare provider for regular check-ups and monitoring of the affected vein to ensure proper healing and prevent recurrence of thrombophlebitis.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with superficial thrombophlebitis surgery?

  2. How long is the recovery period after surgery, and what should I expect during this time?

  3. Will I need to follow any specific post-operative care instructions, such as taking medication or wearing compression stockings?

  4. What are the success rates of surgical treatment for superficial thrombophlebitis, and how likely is it that the condition will recur after surgery?

  5. Are there any alternative treatment options to consider before undergoing surgery for superficial thrombophlebitis?

  6. How experienced are you in performing surgery for superficial thrombophlebitis, and what is your success rate with this procedure?

  7. Will I need to undergo any additional tests or imaging studies before surgery to ensure that it is the best course of treatment for my condition?

  8. How soon after surgery will I be able to resume normal activities, such as work and exercise?

  9. Are there any lifestyle changes or preventive measures I can take to reduce the risk of developing superficial thrombophlebitis in the future?

  10. Can you provide me with more information about the specific surgical procedure you plan to perform for my superficial thrombophlebitis, including any potential side effects or complications to be aware of?

Reference

Authors: Rodríguez ES, Barrera ÁM, Jiménez S, Hernández LG. Journal: Rev Int Androl. 2022 Jul-Sep;20(3):207-210. doi: 10.1016/j.androl.2020.10.014. Epub 2022 Jan 22. PMID: 35078728