A rare cause of hematuria; penile metastasis of prostate cancer

Despite the rich vascularization and complex circulation, metastasis to the penis is rare. The most common symptoms are penile induration, swelling and palpable nodular lesions on penis. These patients have a poor prognosis receiving various treatment modalities. The appearance of disseminations is still controversial and there is not an efficacious therapy. Herein, we present a patient who admitted with the chief complaints of hematuria. After clinical, radiological and pathological evaluations, the patient was diagnosed as a very rare cause of hematuria; penile metastasis of prostate cancer. In literature, this is the first case of prostate cancer metastasis to penis which is presented with hematuria. In follow-up period of him, although he was treated with chemotherapy, he died 10 months after the diagnosis.