Abstract
Penile squamous cell carcinoma (SCC) is the most common type of penile malignancy affecting males in their sixth to eighth decade of life. We discuss a case of an 89-year-old male with dementia who initially presented to the emergency department with a penile lesion and symptoms consistent with a urinary tract infection. Further evaluation with MRI and a subsequent biopsy confirmed the diagnosis of penile SCC, which caused multiple strictures in the penile urethra. This report demonstrates a rare instance of penile SCC causing multifocal urethral obstructions and highlights the utility of MRI in characterizing penile lesions.