Metastatic cancers of the testis are rare. Metastatic disease in the testis from urothelial carcinoma is extremely rare. Usually, metastatic testicular cancers are from primitive prostate, lung, and gastrointestinal tumors.

Testicular metastases from urothelial carcinoma should be suspected in patients with hematuria and testicular swelling.

© 2023 The Authors. Published by Elsevier Inc.