What are the effective ways to treat acute thrombophlebitis?

Question

Hi doctor,

About 11 weeks ago, I had unprotected sex while drunk. I have since been tested and everything came back clear. However, the day after, I began experiencing a throbbing, dull ache in my penis. Two weeks later, I noticed that a vein on the right side of my shaft had become inflamed. I now experience intense pain whenever I masturbate or touch it. The discomfort persists, and in the mornings, I feel a dull ache as soon as I wake up. I am concerned that I might never be able to have sex or masturbate again, as the affected area appears significantly larger than the other side and looks different.

I have read about Mondor's disease and varicose veins, and I am worried because there seems to be no cure for varicose veins. Could my penis be permanently damaged? I feel lost and upset. Could you offer some advice based on the pictures?

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

The problem appears to be acute thrombophlebitis. It can be treated with a course of antibiotics and anti-inflammatory medications. If necessary, it can also be addressed with minor surgery. There is no need to worry at this time.

I hope this helps you.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Inflammation of the superficial veins can be caused by various factors. Usually, it subsides with anti-inflammatory medications and antibiotics. However, in many cases that are not managed adequately in the initial period, blood clots can block the veins and may take a long time to recanalize. Often, the vein may need to be excised to alleviate the pain. In the morning, nocturnal erections that occur during the REM (rapid eye movement) phase of sleep can stretch the vein, causing pain.

This condition does not appear to be the same as inflammation or blockage of the lymphatic vessels. Compared to those conditions or varicose veins, it is much easier to manage. Surgery would involve the simple excision of the painful vein, and you can have this procedure done by a urologist. It typically takes about 30 minutes, and you can be discharged on the same day.

I hope this helps.

Thank you.