A 67-year-old gentleman, who underwent malleable penile prosthesis placement 15 years ago for diabetes-induced refractory erectile dysfunction, presented with a one-month history of an on-and-off, thin, blood-mingled penile-base discharge. Past Medical history: Three months earlier, the patient experienced a constant, aching pain, which was moderate in severity and associated with a well-defined right hemiscrotal swelling. He denied having hematuria or lower urinary tract symptoms.
The patient’s past medical history was significant for long-standing diabetes mellitus, tooth extraction, and left maxillary antral biopsy for suspected nasopharyngeal carcinoma, which was diagnosed and treated with chemotherapy and radiotherapy two years prior to presentation. Physical Examination: On physical examination, the patient was afebrile. Genitourinary examination revealed a nontender swelling, 30…
