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JYMS : Journal of Yeungnam Medical Science

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Prolonged oral sildenafil use-induced Mondor disease: a case report
Han Sol Chung, You Ho Mun
J Yeungnam Med Sci. 2022;39(3):262-265.   Published online May 24, 2022
DOI: https://doi.org/10.12701/jyms.2022.00220
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AbstractAbstract PDF
Penile Mondor disease (MD) is a palpable, painful, subcutaneous induration caused by superficial dorsal penile vein thrombosis. We report a case of penile MD that was suspected to be related to prolonged oral sildenafil use. A 46-year-old man visited our emergency department with sustained penile pain and swelling that began 7 hours after sexual intercourse. He had used oral sildenafil intermittently for 11 years and engaged in sexual intercourse the previous night after taking sildenafil. Examination revealed no evidence of intercourse-related trauma to the genital area or an increase in penile skin temperature. However, penile swelling and tenderness over the protruding dorsal penile vein were noted. A color Doppler ultrasound examination was performed immediately, which showed hyperechoic thrombosis in the right superficial dorsal penile vein that was dilated, with soft tissue swelling and no detectable flow signal in the thrombotic lesion. The patient was diagnosed as having penile MD. The patient was treated conservatively. Some reports have indicated the involvement of sildenafil in thrombogenesis. Physicians should be aware that prolonged oral sildenafil use may be associated with penile MD.

Citations

Citations to this article as recorded by  
  • A case with Penile Mondor’s disease
    Hülya Cenk, Gülbahar Saraç, İrem Mantar Yanatma
    TURKDERM.2023; : 151.     CrossRef

JYMS : Journal of Yeungnam Medical Science