clinical features
Last reviewed 01/2018
These include:
- patient is elderly, usually, in his fifth or sixth decade
- papillary growth on the glans (less common)
- indurated ulcer at base of glans (more common)
- purulent or blood-stained discharge, often offensive
- non-retractile foreskin
- enlarged lymph nodes in groin (60% of cases) - but often, only half are malignant
Advanced cases may present when most of the penis has been destroyed.
Urethral obstruction with retention of urine is rare.
The lesion is visible if the foreskin can be retracted or can be felt beneath it.