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BMC Urology

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Open Access 01-12-2022 | Ultrasound | Case report

COVID-19 infection as a new risk factor for penile Mondor disease

Authors: Krzysztof Balawender, Anna Pliszka, Agata Surowiec, Sebastian Rajda

Published in: BMC Urology | Issue 1/2022

Abstract

Background

Penile Mondor disease is a superficial dorsal vein thrombophlebitis of the penis, which mainly affects young and middle-aged men. It generally manifests as a visible painful cord located along the dorsal surface of the penis with signs of skin inflammation. The condition is usually self-limiting, but in severe cases a surgical procedure may be necessary in addition to pharmacological treatment. Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 is associated with a frequent incidence of thrombophilia; therefore, such a prothrombotic state during infection may be a significant risk factor for penile Mondor disease.

Case presentation

The 34-year-old patient reported moderate pain felt on the surface of the penis. During the medical interview, the patient did not admit significant risk factors for Mondor Disease, apart from the previous, a month earlier COVID-19 disease. Examination revealed swelling erythema and a thick indurated cord on the surface of the penis. Color Doppler ultrasound was performed to confirm assumptions and exclude thrombosis of other penile vessels. Based on visible clots in the course of the superficial penile vein and after exclusion of vasculitis due to autoimmune disease the diagnosis of penile Mondor disease was made. Pharmacological therapy was implemented to further break down the clot and prevent rethrombosis in the penile vessels. The patient did not report any treatment complications and returned for a control visit, which revealed complete clot dissolution on ultrasound; therefore, complete recovery was stated.

Conclusions

This case report presents the correlation between SARS-Cov-2 infection and penile Mondor disease, based on the confirmed influence of COVID-19 on the pathophysiology of thrombosis. It can be concluded that COVID- 19 is a risk factor for Mondor disease, as in the presented case the virus was the only prothrombotic risk factor for the patient. Consequently, the possibility of developing thrombosis in the form of penile Mondor disease should be taken into account among patients with post-COVID-19 and active SARS-Cov-2 infection.

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Title: COVID-19 infection as a new risk factor for penile Mondor disease
Authors: Krzysztof Balawender
Anna Pliszka
Agata Surowiec
Sebastian Rajda
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Ultrasound
Thrombophlebitis
SARS-CoV-2
COVID-19
Ultrasound
Thrombosis
Thrombophlebitis
Published in: BMC Urology / Issue 1/2022
Electronic ISSN: 1471-2490
DOI: https://doi.org/10.1186/s12894-022-01002-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

COVID-19 infection as a new risk factor for penile Mondor disease

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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