Keloid formation on the penis is exceptionally rare even though the pe
nis is frequently subjected to surgical manipulations such as circumci
sion. Review of the literature revealed a few reports of patients with
penile keloids. A 13-year-old Caucasian boy who had a pronounced peni
le keloid after circumcision and a 56-year-old Caucasian male who had
keloid formation on the dorsum of the shaft of the penis after several
attacks of penoscrotal hidradenitis suppurativa are presented. They c
omprise the fifth and the sixth cases of keloid formation in the liter
ature to our knowledge. Intralesional steroid injection and surgical e
xcision are the treatment modalities for this malady. Surgical excisio
n appears to be the choice of treatment for larger lesions that are di
sabling, Recurrence is stilt possible, of course.