Thirty-three case reports of patients with carcinoma of penis were scrutinised at the University Teaching Hospital, Lusaka, Zambia to look into the associated environmental problems causing an unacceptable level of morbidity and mortality. Due to social and personal reasons, late presentation and poor follow-up is common. Improvement in the poor outcome is only possible with change in social attitudes and alleviation of ignorance. Educating traditional healers will help. For the present radiotherapy may be the other option to improve the morbidity and survival rates in this potentially a curable cancer.