[A case of tuberculosis of the prostate presenting as endoscopically cavitary change]

A 62-year-old man was admitted to our hospital with the chief complaint of terminal macroscopic hematuria. He had a history of left tuberculous epididymitis in 1994. On digital rectal examination, the prostate was found to be a normal size and slightly hard with no elasticity. Transcrectal ultrasound showed hypoechoic lesions in the peripheral zone. T1-weighted MRI demonstrated cavitary lesions and T2-weighted MRI demonstrated relatively low signal intensity in the same zone. Urethrography revealed various cystlike lesions in the prostatic urethra. Cystourethroscopy revealed cavitary change with many septa in the left lobe of the prostate. TUR-P was performed and histological findings of the specimen revealed tuberculosis of the prostate. The patient was treated with an antituberculous regimen of INH, RFP and EB.