Curriculum Outline

Michael is a 64-year-old retired builder who presents to his GP with a penile mass that fails to respond to antibiotics following exclusion of infection. He is subsequently referred to the local urology team for further assessment. Michael’s case focuses on advanced penile cancer with nodal involvement (pT3 pN3 M0), emphasising urgent referral, staging, imaging, pathology interpretation, and multidisciplinary specialist management.

Paul is a 56-year-old accountant who presents with phimosis and a rash on the glans. Following referral and circumcision, pathology confirms HPV16-positive SCC basaloid penile cancer. Paul’s case focuses on HPV-associated penile cancer and intermediate-risk nodal staging pathways, highlighting the role of DSNB, FNAC, and evidence-based management of cN0 disease.

David is a 42-year-old software engineer who presents with a bleeding red lesion on the glans that has been progressing over several weeks. David’s case focuses on high-risk cN0 penile cancer management, including MRI staging, DSNB, biopsy considerations, and ongoing surveillance following treatment.