Metastatic spread from the prostate to the penis occurs by several routes [7, 10], retrograde venous or lymphatic spread, and direct extension are the commonest mechanisms. The most reliable diagnostic modality remains the needle core biopsy; this allows for histological and immunological confirmation of metastatic spread, and evaluation of extent of invasion [5]. Treatment options depend on the general condition of the patient, site and extent of the primary tumour, presence of metastases, and symptomatology. The treatment options available include local excision of the tumour, radiation therapy, bilateral orchidectomy, additional hormonal and/or chemotherapy and, partial or total amputation of the penis. In patients who present with urinary tract outflow obstruction, procedures such as cystostomy or suprapubic catheterisation are of palliative value [7]. Amputation of the penis with urethrostomy formation is to be considered in patients with ulceration, irritating secretion and intractable penile pain for symptom control. In one of our cases treatment followed palliative lines but in the other, subtotal penectomy for severe intractable penile pain, resulted in immediate pain relief and marked improvement in quality of life. Emphasis should be on palliative treatment and improving quality of life in view of the poor prognosis and a 6-month mortality of 80%. Surgery could be a therapeutic option, but only in patients attended with severe intractable pain.