Penile squamous cell carcinoma is a rare malignancy that may require radical surgery in advanced stages. We report a 66-year-old male with a one-year history of a penile lesion diagnosed as verrucous squamous cell carcinoma, staged as T3N2M0 (clinical stage IIIB) based on magnetic resonance imaging findings. The patient underwent total penectomy with scrotal flap phalloplasty and perineal urethrostomy, followed by robotic inguinal lymphadenectomy, which revealed no metastatic involvement (pN0). Postoperative outcomes were favorable, with good flap viability and satisfactory urinary function. This case highlights a practical reconstructive approach and the importance of histopathological confirmation of nodal disease.
Urology case reports. 2026 Jun 23*** epublish ***
Víctor Hugo Linares-Serrano, Porfirio Damián López-Alvarado, Félix Pérez-Oliva, Omar Alexander Hernández-Hernández, Carlos Eduardo Vázquez-Flores, David Sánchez-Delgadillo, Eduardo Jair Mota-Ortiz
Servicio de Urología, Hospital Regional Lic. Adolfo López Mateos, ISSSTE, Ciudad de México, México.