Dr. Yousef Abbas
Andrology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I had sex with a partner last year who probably had herpes. I applied lots of soap because I panicked. I had a lumpy vein on the right side of my penis, which also ran under the base of the right side of the penis, and it is painful. This vein became swollen a year before that when I had sex with a tight condom, and the next day I had some pain, but it became alright after a few weeks of abstinence. The vein remained swollen, however. I tried abstaining for two months or three months during this one year, and it resolved but flared up again when I started masturbation. I did a urine culture and other STD tests under the doctor's advice, and everything is fine. But my penis still aches after masturbation and specifically after ejaculation near this vein. I also have pains during sleep at night as the penis is hard most of the time but subsides to some extent when I wake up and is flaccid. Recently, I consulted a doctor online and was told I have Penile Mondor's disease and was prescribed Ecosprin 75, which I had for two weeks, and after one week gap, I had again for three weeks. But the issue persists, and the doctor asked me to see a urologist or andrologist. Please help me as it is there for almost a year, and I am suffering from this pain. I am worried this will ruin my sexual performance in the future, and also, I am stressed because of abstaining for such long periods as I am sexually active. I cannot focus on anything until healed.
Hello,
Welcome to icliniq.com.
I am so sorry that you are suffering from such an unpleasant disorder. However, after having read your description and the medical data sent (attachment removed to protect patient identity), I came to the conclusion, that Mondor's disease might be a part of the problem, but that the main reason is another diagnosis. All information I got from you indicates towards prostatitis type 3b. The good news is that it is not dangerous and common in young men. The bad news is that the treatment can only be symptomatic. Antibiotics are completely useless in this case and there is also no other causal therapy. But I will prescribe you two medications (one to relax your lower abdomen, and the other one to liquify your prostate fluid a little bit more) that you should take on a daily basis, and on top a pain medication for bad days. The normal course of this disease is that it is self-limiting, meaning that it will vanish one day by itself.
The Probable causes
Investigations to be done
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
Patient's Query
Thank you doctor,
I will follow your advice. However, I have to mention that I do not have any pain in the prostate region whatsoever. Initially, I might have had it for a few days during the onset, but it subsided. The pain is localized to the veins, which seem to be a bit swollen than usual. The pain is only there when I am sexually active or getting erections. Apart from that, I can get erections, and also my ejaculation is alright, but it is usually accompanied with pain in the vein, which is running from the right side to the base of the penis to near the opening. So do you think prostatitis is the reason? Also, I have forgotten to mention that I tried using Thrombophob ointment recently as I searched for ways to solve this problem because I could not go to a doctor during the pandemic. Do I need some surgery for this vein?
Hello,
Welcome back to icliniq.com.
I did not ignore the vein issue, and maybe we have to deal with it more intensively when my treatment does not have the desired effect. That is why I recommend sonographies. In a Doppler-sonography of the scrotum (both testicles), the veins usually are visible. That was my thought behind the recommendation. Nevertheless, a person can have two conditions at the same time. And prostatitis of type 3b does not necessarily cause pain in the prostate. We often see patients with type 3b who have pain at other locations in the genital area, for example, in the upper part of the urethra, etc. Rest assured that I have the entire picture in mind. That is why it is essential to see how your body will react to the proposed treatment. One step at a time, if you agree.
Treatment plan
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Andrology
Related Questions
I am taking Levofloxacin for prostatitis. Will this cause any permanent side-effect?
Will surgery for BPH prevent prostate cancer?
I believe I have chlamydia prostatitis. Please suggest a treatment.
How to manage pain in penis?
I am getting pain in penis and tingling sensation in testicles. Please help.
What causes cloudy urine even after UTI treatment?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
