{"id":12547,"date":"2025-06-11T08:47:58","date_gmt":"2025-06-11T12:47:58","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/penile-mondors-disease\/"},"modified":"2026-10-07T01:11:19","modified_gmt":"2026-10-07T05:11:19","slug":"doenca-de-mondor-peniana","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/doenca-de-mondor-peniana\/","title":{"rendered":"Doen\u00e7a de Mondor Peniana"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[104,105],"class_list":["post-12547","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-conditions","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p class=\"ai-optimize-6\">A doen\u00e7a de Mondor peniana (DMP) \u00e9 uma condi\u00e7\u00e3o cl\u00ednica rara e benigna caracterizada por tromboflebite, que \u00e9 a inflama\u00e7\u00e3o e a coagula\u00e7\u00e3o de uma veia superficial, afetando especificamente a veia dorsal do p\u00eanis.<sup>1<\/sup>\u00a0Ela se apresenta tipicamente como uma faixa subcut\u00e2nea palp\u00e1vel, firme e semelhante a um cord\u00e3o ao longo do corpo do p\u00eanis.<sup>1<\/sup>\u02d2<sup>3<\/sup> Embora seja geralmente considerada uma forma de trombose venosa superficial, algumas pesquisas tamb\u00e9m sugerem uma poss\u00edvel origem linf\u00e1tica.<sup>1<\/sup>\u00a0A condi\u00e7\u00e3o \u00e9 geralmente autolimitada, o que significa que se resolve espontaneamente ao longo de semanas a meses.<sup>1<\/sup>\u02d2<sup>3<\/sup>\u00a0Na urologia, \u00e9 importante reconhec\u00ea-la como uma entidade diagn\u00f3stica distinta, diferenci\u00e1-la de condi\u00e7\u00f5es mais graves e manej\u00e1-la adequadamente para aliviar a ansiedade e o desconforto do paciente, ainda que normalmente n\u00e3o exija tratamento agressivo.<sup>1<\/sup><\/p>","gt-synonyms":"Tromboflebite peniana superficial, flebite de Mondor do p\u00eanis, trombose da veia dorsal peniana superficial, linfangite circular endurecida, linfangite esclerosante n\u00e3o ven\u00e9rea do p\u00eanis, linfangiectasia transit\u00f3ria benigna, linfedema localizado do p\u00eanis, cord\u00e3o de Mondor do p\u00eanis.<sup>3<\/sup>","gt-citation":"[1] \u00d6zt\u00fcrk H. Penile Mondor\u2019s disease. Basic Clin Androl. 2014 Mar 3;24:5. doi: 10.1186\/2051-4190-24-5. PMID: 25780580; PMCID: PMC4349227.\r\n\r\n[2] Rountree KM, Barazi H, Aulick NF. Mondor Disease. [Updated 2023 May 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538282\/\r\n\r\n[3] Lodhia J, Mremi A, Maro NN, Shirima D, Mbwambo O, Ngowi BN. Mondor\u2019s disease of the penis: a common presentation of an uncommon disease. IJS Glob Health. 2025;8(1):e00525. doi:10.1097\/GH9.0000000000000525.","gt-clinical-context":"<p class=\"ai-optimize-7\">A doen\u00e7a de Mondor peniana \u00e9 tipicamente observada em homens sexualmente ativos, com idades relatadas entre 18 e 70 anos, embora classicamente afete homens com menos de 45 anos.<sup>1<\/sup>\u02d2<sup>3<\/sup>\u00a0A condi\u00e7\u00e3o frequentemente se manifesta de forma aguda, com os pacientes notando uma les\u00e3o firme, semelhante a um cord\u00e3o, na face dorsal (superior) ou dorsolateral do p\u00eanis.<sup>1<\/sup>\u00a0Os sintomas podem incluir dor localizada, sensibilidade e desconforto, que podem se agravar durante a ere\u00e7\u00e3o.<sup>1<\/sup>\u02d2<sup>3<\/sup> Alguns indiv\u00edduos podem apresentar eritema (vermelhid\u00e3o) ou edema (incha\u00e7o) da pele sobrejacente.<sup>1<\/sup>\u00a0No entanto, um n\u00famero significativo de casos pode ser assintom\u00e1tico.<sup>3<\/sup><\/p>\r\n<p class=\"ai-optimize-8\">O trauma das veias penianas \u00e9 frequentemente considerado o principal desencadeante da DMP, mais comumente associado a rela\u00e7\u00f5es sexuais ou masturba\u00e7\u00e3o vigorosas ou prolongadas.<sup>1<\/sup>\u02d2<sup>3<\/sup> Outros poss\u00edveis fatores etiol\u00f3gicos incluem abstin\u00eancia sexual prolongada, infec\u00e7\u00f5es locais (por exemplo, s\u00edfilis, candid\u00edase), hist\u00f3rico de doen\u00e7as sexualmente transmiss\u00edveis, trombofilia (maior tend\u00eancia \u00e0 forma\u00e7\u00e3o de co\u00e1gulos sangu\u00edneos), trauma peniano direto e uso de dispositivos constritivos ou de aux\u00edlios de ere\u00e7\u00e3o a v\u00e1cuo; raramente, a condi\u00e7\u00e3o pode estar associada a cirurgias p\u00e9lvicas, c\u00e2nceres p\u00e9lvicos ou condi\u00e7\u00f5es sist\u00eamicas como a doen\u00e7a de Beh\u00e7et.<sup>1<\/sup>\u02d2<sup>3<\/sup>\u00a0Acredita-se que a patog\u00eanese envolva a tr\u00edade de Virchow: les\u00e3o endotelial da veia, estase do fluxo sangu\u00edneo e estado de hipercoagulabilidade.<sup>1<\/sup><\/p>\r\n<p class=\"ai-optimize-9\">O diagn\u00f3stico \u00e9 predominantemente cl\u00ednico, baseado na hist\u00f3ria caracter\u00edstica e nos achados do exame f\u00edsico.<sup>1<\/sup>\u00a0Uma estrutura palp\u00e1vel semelhante a um cord\u00e3o \u00e9 o sinal caracter\u00edstico. A ultrassonografia com Doppler colorido pode ser uma ferramenta diagn\u00f3stica valiosa para confirmar a presen\u00e7a de trombose (um co\u00e1gulo sangu\u00edneo dentro da veia) e a aus\u00eancia de fluxo sangu\u00edneo no segmento afetado, bem como para diferenciar a DMP de outras condi\u00e7\u00f5es, como a doen\u00e7a de Peyronie, a linfangite esclerosante ou infec\u00e7\u00f5es.<sup>2<\/sup>\u02d2<sup>1<\/sup><\/p>\r\n<p class=\"ai-optimize-10\">A sele\u00e7\u00e3o de pacientes para qualquer interven\u00e7\u00e3o \u00e9 m\u00ednima, pois a condi\u00e7\u00e3o \u00e9 benigna e autolimitada na maioria dos casos.<sup>1<\/sup>\u02d2<sup>3<\/sup>\u00a0A tranquiliza\u00e7\u00e3o e a orienta\u00e7\u00e3o sobre a natureza benigna da doen\u00e7a s\u00e3o componentes cruciais do manejo. Os resultados esperados s\u00e3o geralmente excelentes, com resolu\u00e7\u00e3o espont\u00e2nea ocorrendo tipicamente em 4 a 8 semanas, embora \u00e0s vezes possa levar mais tempo.<sup>1<\/sup>\u02d2<sup>3<\/sup> O tratamento conservador \u00e9 a base do manejo. Ele inclui repouso sexual, evitar atividades que possam traumatizar o p\u00eanis, compressas mornas e analg\u00e9sicos, como anti-inflamat\u00f3rios n\u00e3o esteroides (AINEs), para o al\u00edvio da dor.<sup>1<\/sup>\u00a0Em casos raros, persistentes ou particularmente sintom\u00e1ticos, a excis\u00e3o cir\u00fargica do segmento venoso trombosado j\u00e1 foi descrita, mas isso n\u00e3o \u00e9 comumente necess\u00e1rio.<sup>3<\/sup><\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":562},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.6 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Doen\u00e7a de Mondor Peniana: Trombose Venosa | Rigicon<\/title>\n<meta name=\"description\" content=\"Conhe\u00e7a a doen\u00e7a de Mondor peniana, tromboflebite da veia dorsal superficial do p\u00eanis. 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