Newsgroup: it.scienza.medicina
Titolo: Vena irrigidita del pe..

la notte. Grazie comunque
I testicoli ed un possibile varicocele non c'entrano nulla.
Non parli di segni di infiammazione, e cosi' a naso, senza averti
visitato, penserei piu' ad una placca fibrotica (induratio penis
plastica, o IPP). Non ci dici cosa succede al pene in erezione, se ci
sia una deviazione o meno  (un "incurvamento" anomalo).
-- 
        ___
 /\/\/\/ _/  -Doctor Diabolicus
/     / /_   -Moderatore it.scienza.medicina
\/\/\/\__/   -e-mail: 
moderator...@doctor.com
charter: 
http://web.tiscalinet.it/ScienzaEmedicina/Manifesto.html

 I testicoli ed un possibile varicocele non c'entrano nulla.
Può essere una flebite di Mondor del pene: è più frequente [4] di quello
che si creda (per una ragione molto ovvia), e la sintomatologia descritta
nelle referenze [1..5] in calce sembra corrispondere.
Bye,
  -= Ginzo =-
  [1] Hinyokika Kiyo 1988 Jul;34(7):1245-8
 [A case of Mondor's disease of the penis]. [Article in Japanese]
 Doi Y, Takeyama M, Matsui T, Fujioka H
 Department of Urology, Osaka Central Hospital.
  A case of Mondor's disease of the penis in a 40-year-old man is reported.
 The patient complained of a small subcutaneous induration (0.5 x 1.0 cm)
 with slight tenderness in the dorsal region of the penile shaft.
 On examination, the linear cord was palpated running both distally
 and proximally from the induration. This lesion was removed under local
 anesthesia, and the induration and the cord were found to be part of the
 superficial dorsal vein of the penis. The venous wall was thick and the
 thrombus was packed in it. Histological findings showed the proliferation
 of connective tissue of the vessel wall and partially granulating thrombus
 in the canal. From these findings, we confirmed the diagnosis of Mondor's
 disease of the penis. The etiology of this disease, especially in comparison
 with non-venereal sclerosing lymphangitis of the penis (N.S.L.P.) is
 discussed.
 PMID: 3051951, UI: 89022571
  [2] J Urol 1993 Jul;150(1):77-8
 The management of penile Mondor's phlebitis: superficial dorsal
 penile vein thrombosis.
 Swierzewski SJ 3d, Denil J, Ohl DA
 Department of Surgery, University of Michigan Medical Center,
 Ann Arbor 48109.
  Superficial dorsal penile vein thrombosis was diagnosed 8 times in 7
 patients between 19 and 40 years old (mean age 27 years). All patients
 related the onset of the thrombosis to vigorous sexual intercourse.
 No other etiological medications, drugs or constricting devices were
 implicated. Three patients were treated acutely with anti-inflammatory
 medications, while 4 were managed expectantly. The mean interval to
 resolution of symptoms was 7 weeks. Followup ranged from 3 to 30 months
 (mean 11) at which time all patients noticed normal erectile function.
 Only 1 patient had recurrent thrombosis 3 months after the initial episode,
 again related to intercourse. We conclude that this is a benign self-limited
 condition. Anti-inflammatory agents are useful for acute discomfort but
 they do not affect the rate of resolution.
 PMID: 8510279, UI: 93287336
  [3] Int Urol Nephrol 1996;28(3):387-91
 Superficial dorsal penile vein thrombosis (penile Mondor's disease).
 Ozkara H, Akkus E, Alici B, Akpinar H, Hattat H
 Department of Urology, Istanbul University, Cerrahpasa School of Medicine,
 Turkey.
  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.
 PMID: 8899480, UI: 97055193
  [4] Br J Urol 1996 May;77(5):729-32
 Penile Mondors' disease: an underestimated pathology.
 Sasso F, Gulino G, Basar M, Carbone A, Torricelli P, Alcini E
 Department of Urology, Catholic University of Rome, Italy.
  OBJECTIVE: To report the aetiological, diagnostic and therapeutic aspects
 of penile Mondor's disease treated with non-steroidal anti-inflammatory
 drugs (NSAIDs) or surgery. PATIENTS AND METHODS: During the last 3 years,
 10 patients (mean age 35 years, range 20-57) were treated for superficial
 penile vein thrombophlebitis. The main aetiological factors were prolonged
 and excessive sexual intercourse, operations for inguinal hernia and
 deep vein thrombosis. All patients had noticed sudden and almost painless
 cord-like induration on the penile dorsal surface. Doppler ultrasonography
 was useful in both diagnosis and follow-up. Eight patients were treated
 with NSAIDs and platelet drugs. RESULTS: The mean interval to resolution
 of symptoms was 3 weeks. Two patients who did not respond to drug therapy
 underwent surgery (dorsal vein resection). CONCLUSION: Medical therapy and,
 when indicated, vein resection are successful and effective in treating
 penile Mondor's disease.
 PMID: 8689120, UI: 96296316
  [5] Harefuah 1997 Apr 15;132(8):544-5, 607
 [Superficial dorsal penile vein thrombosis]. [Article in Hebrew]
 Katz R, Blachar A
 Dept. of Urology, Hadassah Medical Center, Hebrew University of Jerusalem.
  Superficial venous thrombosis of the chest wall was first described
 by Mondor in 1939. Braun-Falco reported in 1955 superficial penile vein
 involvement in diffuse thrombophlebitis of the abdominal wall and in 1958
 Helm and Hodge first described isolated superficial dorsal penile vein
 thrombosis. Since then, fewer than 50 cases have been reported. The
 clinical presentation is usually redness and swelling of the dorsum of
 the penis, accompanied by a palpable, tender thrombotic vein. This acute and
 painful disease frightens the patients, who is concerned about his fertility
 and sexual function. The main cause of this disease is frequent sexual
 intercourse. Diagnosis is based upon anamnesis, physical examination and
 penile sonography with color Doppler imaging. It is usually a benign disease
 which resolves quickly under appropriate medical therapy. We present a man
 who was admitted for this condition and was successfully treated.
 PMID: 9153934, UI: 97298486
----

Può essere una flebite di Mondor del pene
Una tromboflebite superficiale da' *qualche* altro sintomo locale...
-- 
        ___
 /\/\/\/ _/
/     / /_
\/\/\/\__/ -Doctor Diabolicus-

 Una tromboflebite superficiale da' *qualche* altro sintomo locale...
Ok, ma non trascurare il fatto che chi invia quel tipo di messaggi elenca
solo i sintomi che ritiene significativi, piů recenti, o meno imbarazzanti.
Bye,
  -= Ginzo =-

-- 
Non è vero, tutte le linfangiti sclerosanti del pene che ho visto
erano del tutto asintomatiche
Un saluto dall'Urologo di Guardia
-
-
-
-

erano del tutto asintomatiche
Non mi pare che "linfangite sclerosante" e "tromboflebite" siano termini
equivalenti...


Una tromboflebite superficiale da' *qualche* altro sintomo locale...
Salve e....scusate l'intromissione  :-))
1) Ho la sensazione che non si tratti di una "tromboflebite" (fenomeno
acuto e gravato da sintomi anche generali) ma di una "flebotrombosi"
(in cui la componente ostruttiva prevale su quella infiammatoria).
2) "....All patients had noticed sudden and almost painless
cord-like induration on the penile dorsal surface...." viene riportato
nella referenza [4] del post di Ginzo, col quale tendo a concordare
sulla diagnosi.
Ciao a tutti  :-)))
Docpocket