Relapse of Wegener's granulomatosis presenting as a destructive urethritis and penile ulceration

Non-renal urogenital Wegener's granulomatosis is considered to be rare. Generally it occurs in a setting of concurrent multisystem disease or in patients already diagnosed as having Wegener's granulomatosis. We present a patient with a penile ulceration related to a destructive urethritis, as presentation of a relapse of Wegener's granulomatosis.