We report the case of a 49-year-old man who presented with a 2-month history of a progressively enlarging squamous cell carcinoma on the skin of the proximal penile shaft. The patient refused penectomy and requested penile preservation. He was treated with wide surgical excision of the tumor, followed by a full-thickness vascularized scrotal skin flap. The treatment proved curative, with excellent cosmetic and functional results. The patient is without evidence of disease recurrence 7 years after therapy.
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