Thrombosed Penile Vein (TPV): Treatment Options & Management
Thrombosed penile vein (TPV) is a thrombosed dorsal vein—usually self-limiting but painful.
Conservative Management
- NSAIDs: Ibuprofen/naproxen for inflammation/pain
- Anticoagulants: Heparin/warfarin if extensive or recurrent (rare)
- Sitz Baths: Warm soaks 2–3x daily for comfort, circulation
- Elevation: Supine with hips elevated
- Sexual Abstinence: Until resolution (typically 2–6 weeks)
Surgical Intervention (Rare)
- Thrombectomy for persistent, symptomatic clot
- Penile reconstruction if tissue necrosis
When to Seek Care
Immediate evaluation for: worsening pain, swelling, discoloration, fever, urinary symptoms—rule out Fournier's gangrene, priapism, or malignancy.
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