| Summary points: | A 37-year-old Asian male presents for evaluation of voiding difficulty and a tender mass at the distal urethra. Physical examination, medical history, urinalysis, laboratory data, retrograde urethrogram, cystostomy, and histopathological examination are described. The authors discuss a rare case of localised penile shaft amyloidosis -- an unusual location for amyloid deposition -- presenting as a penile mass that resulted in a urethral stricture. |