Abstract
Two males presented to our urology department with complaints of bleeding and malodor from buried phallus within a suprapubic fat pad. Although both men had neonatal circumcisions, advanced penile carcinoma was found in both men. Formal penectomies showed high grade, poorly differentiated squamous cell carcinoma invading the corporal bodies and urethra. Buried penis represents a difficulty in early detection of suspicious lesions but may also provide an environment susceptible to poor hygiene and subsequent chronic inflammation. Patients with buried penis may be at a higher risk for development of invasive penile cancer and may benefit from regular and thorough genital exams.
Highlights
We present two cases of men who presented with advanced penile carcinoma in the setting of a buried phallus
Clinical course, and pathological findings and discuss the possible etiological agents involved in penile carcinoma
The phallus was contained within a suprapubic fat pad and he had been sitting to void without seeing the phallus for several months
Summary
A 42-year-old Caucasian male with body mass index of 54 presented to outpatient clinic with 70-pound weight loss, hematuria, and purulent, malodorous discharge from the site of his buried penis He was circumcised as an infant and denied any smoking history. He locally recurred with a cystic cavity within the suprapubic fat pad about 6 months after surgery. This was excised with wide margins and he is currently undergoing system chemotherapy. The phallus was contained within a suprapubic fat pad and was unable to be examined due to pain He had been sitting to void with a severely weakened stream and lack of phallus visualization for several months. Prior to any adjunctive therapy, he had worsening pulmonary function and succumbed to pulmonary failure unrelated to the penile carcinogenesis
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