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Thrombophlebitis?

My issue could be summed up as "pain and induration of the dorsal part of the penis."  It's been going on for about a month now and it's not painful so long as I'm flaccid.  Soon as I get an erection and try to bend my penis down (it curves upward) even a little, I get an excruciating pain in dorsal vein that runs down the middle of the penis.  I tried to abstain from any sexual activity for about a week and took ibuprofen 3 times a day for a week with no change.

A few days ago I was sexually active and it was still painful.  Afterwords I was in the bathroom and felt a small lump at the base of my penis where the dorsal vein meets pubic bone.  When I put pressure on it, it aches but otherwise no pain when flaccid and I can still feel it no matter flaccid or erect.  It's more pronounced when erect and pulls a bit forward and it can be felt better.

I'm considering seeing a urologist but would love to see what the experts think..  I did some research obsessively and found the issue could be "Thrombosis of the dorsal vein of the penis (Mondor’s Disease)" but this was before I felt the lump which I noticed after last sexual intercourse.  The lump is definitely on the dorsal vein.

Thanks in advance!
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Avatar universal
Just an update, the pain and discomfort slowly went away on their own within 8-12 weeks.  The only lasting affect that's noticeable is my penis, when erect, curves up slightly more now and I'm able to bend it down less, otherwise no other symptoms present.  Not sure what the initial cause was.

Could have been prolonged sexual activity where there were a couple instances of accidental bending of penis when my partner was on top, although not painful at the time, might have contributed to this condition.

Another instance could have been sleeping while laying on my stomach with penis pointing the opposite direction and getting a hard on which might have put a lot of pressure at the base of my penis since it naturally curves up, but other than that, I can't think of any other reason.
Helpful - 0
563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,
From the symptoms Mondor’s disease and peyronie disease should be ruled out. Mondor’s disease is superficial thrombophlebitis of the penis. This is an inflammatory reaction to a clot within the vein. This subsequently causes blockages and dilation of the vein. It is typically painless, but can be painful. In studies, patients were noted to have thrombophlebitis after a prolonged sexual act with or without intercourse. It was described as cord-like thickening of the superficial penile veins.

Diagnosis can be confirmed by ultrasound.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

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