Metastatic carcinoma to penis: when is total penectomy indicated?

We report on 7 patients with metastatic carcinoma to the penis: 3 had carcinoma of the prostate and 2 had transitional cell carcinoma of the bladder; renal cell carcinoma and squamous cell carcinoma of the rectum were found in 1 patient each. Five patients died within six months; 2 patients are alive three and seven months following diagnosis. One of these patients underwent total penectomy for intractable penile pain. The indications and outcome of this surgical procedure are presented and discussed.