Penile metastasis presenting as oedema: A case report and management approach

Metastases to the penis are rare but occur more commonly in Urological cancers. We present a case of an 80-year old gentleman who initially had penile oedema following radical radiotherapy for muscle invasive bladder cancer. The relatively innocuous appearing oedema was investigated without an identifiable cause. Within weeks it rapidly progressed into a large solid mass. This case highlights the need for a high index of suspicion of disease progression and early imaging to potentially facilitate palliative treatment options.