Metastatic castrate-resistant prostate cancer to the penis resulting in malignant priapism and urethral obstruction.
Publication/Presentation Date
3-1-2026
Abstract
A 76-year-old male with metastatic castrate-resistant prostate cancer was found to have metastatic disease to the urethra and penis on PSMA PET scan. This resulted in constant pain due to obstruction of blood flow through the corpora cavernosum resulting in priapism and urethral obstruction. The patient underwent a radical penectomy, partial urethrectomy and perineal urethrostomy creation. Final pathology confirmed metastatic prostatic adenocarcinoma. Although rare, prostate cancer can metastasize to the corpora spongiosum or cavernosa. Treatment options are limited, and surgical excision with urinary diversion is likely to provide the most durable outcomes for one's quality of life.
Volume
65
First Page
103380
Last Page
103380
ISSN
2214-4420
Published In/Presented At
Stewart, C., Leong, J. Y., Kelly, W. K., & Shah, M. S. (2026). Metastatic castrate-resistant prostate cancer to the penis resulting in malignant priapism and urethral obstruction. Urology case reports, 65, 103380. https://doi.org/10.1016/j.eucr.2026.103380
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
41737673
Department(s)
Administration and Leadership
Document Type
Article