Abstract
Penile metastasis from bladder cancer is extremely rare and often presents as part of multiple distant metastases. However, no established standard treatment exists for a solitary penile metastasis. We report an 83-year-old male diagnosed with a solitary penile metastasis two years after radical cystectomy for muscle-invasive bladder cancer. Histopathological examination revealed a solitary tumor within the corpus cavernosum consistent with metastatic urothelial carcinoma. The patient underwent total penectomy followed by adjuvant chemotherapy and has remained recurrence-free for seven years. This case illustrates the potential effectiveness of combining radical surgery and chemotherapy in managing a rare penile metastasis from bladder cancer.