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Buschke-Lowenstein tumor is a rare form of low-grade penile cancer. Its low prevalence amongst the population bars the establishment of a standardized treatment algorithm. We present a case of BLT that was managed with neoadjuvant chemotherapy followed by phallic sparing surgery. Keywords: Buschke-Lowenstein tumor, Penile cancer, Penile surgery, Neoadjuvant chemotherapy, Quality of life