The incidence of penile carcinoma in Trinidad and Tobago is low and has halved in the past two decades. It stands at 0.6 cases per 100 000 males; the peak age group is 41–50 years and 95% of cases occur between 41 and 80 years. The decreasing incidence may be attributed to better hygiene, a higher rate of circumcision and low human papillomavirus rates in this population.