Tuberculosis of the penis represents an uncommon disease, especially in the European Countries, since the introduction of tuberculostatics [1].

It may be presented as an extrapulmonary form of tuberculosis, or, in rare cases, as primary lesion of the gland after contact with female genital ulcers [2, 3].

The main differential diagnosis of this entity is with penile cancer, by performing a biopsy of the lesion [4]. However, is not always easy to differentiate between these two entities, especially in cases with previous scrotal interventions.

Here we present a case of primary penile tuberculosis of the penis, admitted in our Center after he was previously treated in another territorial unit for Fournier gangrene.