Download PDF
CC BY-NC-ND 4.0 · Revista Urología Colombiana / Colombian Urology Journal 2021; 30(04): e313-e318
DOI: 10.1055/s-0041-1736596
Artículo de Revisión

Aspectos prácticos en la patología venosa del pene

Practical Aspects in Venous Pathology of the Penis
Alejandro Fernández Duque
1   Clínica de la Mujer, Bogotá, Colombia
,
Juan Fernando Uribe-Arcila 
2   Departamento de Urología, Hospital Pablo Tobón Uribe, Medellín, Colombia
› Author Affiliations
› Further Information
   Permissions and Reprints

Resumen

El objetivo del presente artículo es mostrar una serie de alteraciones peneanas que, aunque frecuentes en la consulta de medicina sexual, son minimizadas, la mayoría de las veces por desconocimiento de los terapeutas, aunque para los pacientes que las padecen sean genuinas tragedias personales. Hemos revisado la literatura disponible sobre un grupo de seis patologías venosas especificas del pene que configuran el grupo más representativo. Se incluyen las frecuentes e indolentes venas superficiales tortuosas, los cirsoceles o flebectasias, las fugas venosas dorsales, que suelen ser una patología congénita, las deformantes malformaciones venosas del glande, la desconcertante y enigmática enfermedad de Mondor, y las fístulas arteriovenosas, con su riesgo de priapismo de alto flujo implícito. Todas se consideran alteraciones patológicas que requieren intervenciones menores en su tratamiento, excepto ciertos casos de fugas venosas y de fístulas, cuyo manejo es invasivo, y que, en conjunto, buscan una mejor comprensión de los hallazgos cotidianos en este órgano.

Abstract

The objective of the present article is to describe a series of penile alterations that, although frequent in the sexual medicine consultation, are minimized, most of the time due to ignorance of the therapists, but, for the patients who suffer them, they are real personal tragedies. We have reviewed the literature available on a group of six specific venous pathologies of the penis that make up the most representative group. They include the frequent and indolent tortuous superficial veins, the cirsoceles or phlebectasias, the dorsal venous leaks, which are usually a congenital pathology, the deforming venous malformations of the glans, the enigmatic Mondor disease, and the arteriovenous fistulas, with their implicit risk of high-flow priapism. All are considered pathological alterations that require minor interventions in their treatment, except for certain cases of venous leaks and fistulas, whose management is invasive, and which together seek a better understanding of the common findings in this organ.

Palabras Clave

pene - anatomía - venas - malformaciones venosas

Keywords

penis - anatomy - veins - venous malformations


Publication History

Received: 10 February 2021

Accepted: 13 August 2021

Article published online:
22 December 2021

© 2021. Sociedad Colombiana de Urología. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referencias

  • 1 Uribe JF, Gaviria JA. Breve atlas de anatomía externa normal del pene. urol.colomb. Vol. XVII, No. 3: pp 57–66, 2008
    PubMedGoogle Scholar
  • 2 Yura E, Flury S. Cutaneous Lesions of the External Genitalia. Med Clin North Am 2018; 102 (02) 279-300
    CrossrefPubMedGoogle Scholar
  • 3 Rothman CP. Case report: varicocele or cirsocele. J Urol 1980; 124 (04) 566-567
    CrossrefPubMedGoogle Scholar
  • 4 http://www.portalesmedicos.com/diccionario_medico/index.php/Cirsocele . Consultado 11 de septiembre de 2020
    PubMed
  • 5 Balato N, Montesano M, Lembo G. Acquired phlebectasia of the glans penis. J Am Acad Dermatol 1985; 13 (5 Pt 1): 824-826
    CrossrefPubMedGoogle Scholar
  • 6 Song D, Wu C, Guo L, Wang L, Li J, Zhang X. Efficacy and safety of DSA-guided percutaneous sclerotherapy for venous malformations of penile region in children. J Pediatr Surg 2021; 56 (03) 601-604
    CrossrefPubMedGoogle Scholar
  • 7 Biagioli M, Sbano P, Taddeucci P, Risulo M, Fimiani M. Sclerotherapy for penile venous malformations. Dermatol Surg 2006; 32 (07) 955-957 , discussion 957
    PubMedGoogle Scholar
  • 8 Uribe JF. Fuga venosa dorsal profunda como causa de disfunción eréctil primaria y secundaria no estándar (serie de 57 casos). Urología Colombiana 2017; 26 (01) 34-40
    CrossrefPubMedGoogle Scholar
  • 9 Hsu GL, Hung YP, Tsai MH. et al. Penile veins are the principal component in erectile rigidity: a study of penile venous stripping on defrosted human cadavers. J Androl 2012; 33 (06) 1176-1185
    CrossrefPubMedGoogle Scholar
  • 10 Shafik A, Shafik I, El Sibai O, Shafik AA. On the pathogenesis of penile venous leakage: role of the tunica albuginea. BMC Urol 2007; Sep 5; 7: 14 DOI: 10.1186/1471-2490-7-14.
    CrossrefPubMedGoogle Scholar
  • 11 Berookhim BM. Doppler Duplex Ultrasonography of the Penis. J Sex Med 2016; 13 (04) 726-731
    CrossrefPubMedGoogle Scholar
  • 12 Lue TF, Hricak H, Marich KW, Tanagho EA. Vasculogenic impotence evaluated by high-resolution ultrasonography and pulsed Doppler spectrum analysis. Radiology 1985; 155 (03) 777-781
    CrossrefPubMedGoogle Scholar
  • 13 Roy C, Saussine C, Tuchmann C, Castel E, Lang H, Jacqmin D. Duplex Doppler sonography of the flaccid penis: potential role in the evaluation of impotence. J Clin Ultrasound 2000; 28 (06) 290-294
    CrossrefPubMedGoogle Scholar
  • 14 Speel TG, van Langen H, Wijkstra H, Meuleman EJ. Penile duplex pharmaco-ultrasonography revisited: revalidation of the parameters of the cavernous arterial response. J Urol 2003; 169 (01) 216-220
    CrossrefPubMedGoogle Scholar
  • 15 Altinkilic B, Hauck EW, Weidner W. Evaluation of penile perfusion by color-coded duplex sonography in the management of erectile dysfunction. World J Urol 2004; 22 (05) 361-364
    CrossrefPubMedGoogle Scholar
  • 16 Benson CB, Vickers MA. Sexual impotence caused by vascular disease: diagnosis with duplex sonography. AJR Am J Roentgenol 1989; 153 (06) 1149-1153
    CrossrefPubMedGoogle Scholar
  • 17 Broderick G. Valoración vascular de la disfunción eréctil. En: Lue, Tom. Atlas de la disfunción sexual masculina. San Francisco: Current Medical Group; 2008
    Google Scholar
  • 18 Hallerstrom M, von Stempel CB, Raheem A, Walkden M. Abnormal deep dorsal vein resulting in veno-occlusive erectile dysfunction. BMJ Case Rep 2018; Jan 18; 2018: bcr2017223496 DOI: 10.1136/bcr-2017-223496.
    CrossrefPubMedGoogle Scholar
  • 19 Virag R, Paul JF. New classification of anomalous venous drainage using caverno-computed tomography in men with erectile dysfunction. J Sex Med 2011; 8 (05) 1439-1444
    CrossrefPubMedGoogle Scholar
  • 20 Kolte S, Ingle P, Kolte M, Bhuyar S. Thulium laser coagulation for venous malformations of glans penis. Asian J Urol 2016; 3 (02) 110-111
    CrossrefPubMedGoogle Scholar
  • 21 López V, Ricart JM, López I, Martín JM, Marton D, Ortega C, Costa S. Vascular malformation of the glans penis successfully treated with Nd:YAG laser. Dermatol Online J 2012; Oct 15; 18 (10) 16
    CrossrefPubMedGoogle Scholar
  • 22 Braun-Falco O. [Clinical manifestations, histology and pathogenesis of the cordlike superficial phlebitis forms]. Dermatol Wochenschr 1955; 132 (27) 705-715
    PubMedGoogle Scholar
  • 23 Wild J, Wilson L, Bajaj M. Penile Mondor's disease- an understated entity. Urol Case Rep 2020; Apr 2; 31: 101176 DOI: 10.1016/j.eucr.2020.101176.
    CrossrefPubMedGoogle Scholar
  • 24 Mukendi AM, Mahlobo F. Penile Mondor's disease: Clinical and sonographic images. Clin Case Rep 2019; 7 (11) 2283-2284
    CrossrefPubMedGoogle Scholar
  • 25 Kostrzewa O, Kołodziej P, Majdan M, Zwolak R, Górak A, Bar K. [Mondor's disease or systemic sclerosis - diagnostic and therapeutic dilemmas]. Wiad Lek 2018; 71 (1 pt 1): 93-95
    PubMedGoogle Scholar
  • 26 Contreras P, Stoisa D, Pfíster M, Florenzano N, Torsiglieri L, Mazza O. Trombosis de la vena dorsal del pene (flebitis peneana de Mondor): diagnóstico clínico y ecográfico. SAUMB Ultrasonido 2003; 2 (03) 211-215
    PubMedGoogle Scholar
  • 27 Fiore CM, Pellegrino ML, Trivedi MC. Chronic recurrent priapism: A high flow state secondary to an arteriovenous fistula of the corpus cavernosum. Urol Case Rep 2019; Nov 1; 28: 101068 DOI: 10.1016/j.eucr.2019.101068.
    CrossrefPubMedGoogle Scholar
  • 28 Parascani R, Palleschi G, Bova G. et al. Arteriovenous intracavernous post-traumatic fistula: clinical management and treatment by superselective embolization. Urology 2004; 63 (02) 380-382
    CrossrefPubMedGoogle Scholar