TITLE:
Surgical Management of Penile Buschke-Löwenstein Tumor: Case Report
AUTHORS:
Abdoul-Rahamane Binaté, Evrard Kouamé Yao, Donafologo Daouda Yéo, Tawakaltu Bolassadé Adébayo, Nzibla Marie-Ange Yebouet, Légnima Sekou Michel Tuo, Noel Coulibaly
KEYWORDS:
Buschke-Löwenstein Tumor, Penis, Flap
JOURNAL NAME:
Open Journal of Urology,
Vol.16 No.10,
October
10,
2026
ABSTRACT: Introduction: Buschke-Löwenstein tumor (BLT), also known as giant condyloma acuminatum, is a rare anogenital lesion predominantly linked to human papillomavirus (HPV) types 6 and 11. Although histologically benign, it demonstrates locally aggressive behavior with a high risk of recurrence and potential malignant transformation. Case Report: We describe a 62-year-old man with a large verrucous penile tumor evolving over 10 years in the context of poor hygiene. Clinical examination revealed a 10 cm exophytic, papillomatous, cauliflower-like lesion that was foul-smelling and painless. Histology confirmed a giant condyloma acuminatum without invasive malignancy. Wide surgical excision was performed with preservation of the corpora cavernosa, followed by reconstruction using a pedicled suprapubic skin flap. Definitive histopathology confirmed BLT without squamous cell carcinoma or malignant transformation. Postoperative recovery was favorable, with no recurrence after 12 months of follow-up. Conclusion: Penile BLT is a rare entity best managed by complete surgical excision when feasible. Comprehensive histological evaluation of the specimen is crucial to exclude focal malignant transformation. Reconstructive techniques provide effective coverage after extensive excision, and long-term clinical surveillance remains essential due to the risk of recurrence.