Salim Said Al Busaidy1*, Said Abdallah Al-Mamari1, Qais Mohamed Al Hooti1, Atheel Ahmad Kamona2 and Murtadha Taqi Al Qubtan3
1Department of Urology, Royal Hospital, Oman
2Department of Radiology, Royal Hospital, Oman
3Department of Colorectal Surgery, Royal Hospital, Oman
Penile metastases represent a rare clinico-pathological entity which carries an extremely grim prognosis regardless of the primary tumor site. Their origins are most frequently from the urogenital organs and rectum and they are particularly aggressive with a rapid progression to death. Due to the scarcity of the reported cases, there are no international guidelines or consensus on management. We present 2 cases of penile metastases arising from rectal and bladder carcinomas and review the literature. The patients presented with rectal bleeding and hematuria respectively. The first case had a stage T4 N1 rectal tumor which was initially managed with neoadjuvant chemoradiotherapy followed by laparoscopic low resection of the rectal tumor, colorectal anastomosis and defunctioning ileostomy. Penile metastases occurred within 3 months and the patient was further treated with external beam radiation therapy. The second patient presented with a stage T3b N1 bladder tumor and had poor general health. Penile metastases were also noted synchronously at the time of presentation and chemotherapy was advised, however he did not consent to the treatment.
Penile metastasis; Malignant priapism; Bladder cancer; Penile tumor; Rectal cancer
Al Busaidy SS, Al-Mamari SA, Al Hooti QM, Kamona AA, Al Qubtan MT. Penile Metastases: A Report of 2 Cases and Literature Review. Clin Surg. 2016; 1: 1167.