Unilateral Corporal Cavernosum Partial Thrombosis: A Challenging Presentation and Management.

Area of Science:

• Urology
• Radiology
• Vascular Medicine

Background:

• Unilateral corporal cavernosum thrombosis is a rare condition.
• It can present with perineal pain and swelling.
• Diagnosis often requires advanced imaging.

Observation:

• A 29-year-old male presented with acute perineal pain and swelling.
• Physical exam revealed a firm left corpus cavernosum.
• Pelvic MRI confirmed a large left-sided unilateral corporal cavernosum partial thrombosis.

Findings:

• Conservative management including anticoagulation, pain control, and pelvic rest was initiated.
• Three-month follow-up showed reduced thrombus size and symptom resolution.
• Six-month follow-up demonstrated near-complete thrombus resolution via penile ultrasound.

Implications:

• This case highlights the efficacy of conservative management for unilateral corporal cavernosum thrombosis.
• Early diagnosis and treatment can lead to favorable outcomes.
• Further research may explore optimal anticoagulation strategies for this condition.