Penile Mondor’s Disease

阴茎蒙氏病
  • 文章类型: Journal Article
    阴茎Mondor病(PMD)是一种罕见的综合征,其特征是阴茎浅静脉的浅表血栓性静脉炎后硬化。PMD最常见的外观是招标,明显的,痛苦,有时在阴茎背面可见的绳索。其发病机制尚不清楚,标准化治疗尚未建立。
    一名54岁男性患者出现左侧间接复位腹股沟疝。患者接受Lichtenstein腹股沟疝修补术。术后第十天,他返回时,经多普勒超声检查证实为PMD。每天用4000UI低分子量肝素(LMWH)治疗三周,缓解了症状,但轻微的静脉扩张只是阴茎的近端部分仍然存在。
    PMD的确切原因尚不清楚,但是各种研究已经确定了与这种疾病风险增加相关的某些因素。在各种可能引发PMD的潜在因素中,腹股沟疝的修复仅有一次报道。治疗可能涉及疼痛管理,抗炎药,抗凝剂,and,在某些情况下,手术。
    开放式疝修补术后的PMD是一种非常罕见的良性疾病。正确的诊断和及时的治疗可以缓解症状。残余静脉扩张除了外观外观外没有临床意义。
    UNASSIGNED: 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.
    UNASSIGNED: 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.
    UNASSIGNED: 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.
    UNASSIGNED: 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.
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  • 文章类型: Journal Article
    确定阴茎蒙多氏病(PMD)对勃起功能障碍(ED)患者的影响。
    47例诊断为PMD的患者纳入研究并进行前瞻性分析。根据入院时是否有ED将患者分为两组。将ED患者命名为第1组,无ED患者命名为第2组。入院时的国际勃起功能指数(IIEF-5)和贝克焦虑量表(BAI)表格,3rd,与第6个月进行比较。
    第1组21例(44.6%),第2组26例(55.4%)。第1组和第2组患者的平均年龄分别为38.1±7.5岁和26.9±10.3岁,分别(p<0.001)。第1组的平均入院IIEF-5评分为19.52±1.21,第2组为22.92±1.23。治疗后,第1组的平均IIEF-5评分在第3个月和第6个月分别为19.24±1.14和19.09±1.09,分别。第2组的平均IIEF-5评分在第3个月和第6个月分别为22.77±0.99和22.96±1.08,分别。在第1组中,第6个月的IIEF-5评分低于初始评分(p=0.026)。在第1组中,与入院相比,6个月时的平均BAI评分增加(6.0±1.27vs5.43±1.43,p=0.015)。
    PMD可使IIEF5评分较低的ED患者的症状恶化。性交过程中PMD复发的焦虑可能导致了这种情况,或者这也可能是由于ED的自然进展。
    UNASSIGNED: To determine the impact of Penile Mondor\'s disease (PMD) in patients with erectile dysfunction (ED).
    UNASSIGNED: Forty-seven patients diagnosed with PMD were included in the study and analyzed prospectively. The patients were divided into two groups according to the presence of ED at admission. The patients with ED were named Group 1, and those without ED were named Group 2. The International Index of Erectile Function (IIEF-5) and Beck Anxiety Inventory (BAI) forms at admission, 3rd, and 6th months were compared.
    UNASSIGNED: There were 21 (44.6%) patients in Group 1 and 26 (55.4%) patients in Group 2. The mean patient ages in Group 1 and Group 2 were 38.1 ± 7.5 and 26.9 ± 10.3 years, respectively (p < 0.001). The mean admission IIEF-5 score was 19.52 ± 1.21 in Group 1 and 22.92 ± 1.23 in Group 2. After treatment, the mean IIEF-5 scores in Group 1 were 19.24 ± 1.14 and 19.09 ± 1.09 at the 3rd and 6th months, respectively. The mean IIEF-5 scores in Group 2 was 22.77 ± 0.99 and 22.96 ± 1.08 at 3rd and 6th months, respectively. In Group 1, the 6th-month IIEF-5 score was lower than the initial score (p = 0.026). In Group 1, the mean BAI score at 6 months increased compared to admission (6.0 ± 1.27 vs 5.43 ± 1.43, p = 0.015).
    UNASSIGNED: PMD can worsen symptoms in men with ED who have a low IIEF5 score. The anxiety of recurrence of PMD during sexual intercourse may have caused this situation, or this may also be due to the natural progression of ED.
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  • 文章类型: Journal Article
    Mondor\'s disease is a rare, self-limiting, benign process with acute presentation characterized by subcutaneous bands in several parts of the body. Penile Mondor\'s disease (PMD) is thrombophlebitis of the superficial dorsal vein of the penis. It is usually considered as thrombophlebitis or phlebitis of subcutaneous vessels. Some findings suggest that it might be of lymphatic origin. The chest, abdominal wall, penis, upper arm, and other parts of the body may also be involved by the disease. Although its physiopathology is not exactly known, transection of the vessel during surgery or any type of trauma such as external compression may trigger its possible development. This disease almost always limits itself. It may be associated with psychological distress and sexual incompatibility. The patients usually feel the superficial vein of the penis like a hard rope and present with complaint of pain around this hardness. Diagnosis is usually easy with physical examination but color Doppler ultrasound examination is important for differential diagnosis. Thus, a close collaboration is required between radiologist and urologist in order to determine the correct diagnosis and appropriate therapies.
    La maladie de Mondor est une entité rare, auto-limitée et bénigne, de présentation aiguë, qui est caractérisée par la présence de cordons sous-cutanés en différentes régions du corps. La maladie de Mondor pénienne est une thrombophlébite de la veine dorsale superficielle du pénis. Elle est habituellement considérée comme une thrombophlébite ou une phlébite des vaisseaux sous-cutanés. Quelques éléments suggèrent qu’elle pourrait être d’origine lymphatique. La paroi latérothoracique, la paroi abdominale, le pénis, le bras et d’autres parties du corps peuvent être touchés par la maladie. Cette maladie est presque toujours auto-limitée. Bien que la physiopathologie n’en soit pas précisément connue, la section transversale d’un vaisseau lors d’une chirurgie ou n’importe quel type de traumatisme, telle qu’une compression externe, peuvent constituer le déclencheur d’un possible développement. Elle peut être associée à une détresse psychologique et des difficultés sexuelles. Le patient ressent habituellement cette veine superficielle du pénis comme un cordon dur et se plaint d’une douleur autour de cette induration. Le diagnostic en est habituellement facile à l’examen clinique, mais l’examen par écho-doppler couleur est important pour le diagnostic différentiel. Aussi, une étroite collaboration est requise entre le radiologiste et l’urologue pour poser un diagnostic correct et mettre en place les traitements appropriés.
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