Primary tuberculosis of urethra presenting as stricture urethra and watering can perineum: A rarity
Gaurav Prakash1, Vishwajeet Singh1, Rahul Janak Sinha2
1Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Abstract:
A young man presented with irritative lower urinary tract symptoms and multiple fistulae (watering can) in the perineum since 6 months. Micturating cystourethrogram and retrograde urethrogram was performed after 12 weeks following suprapubic cystostomy which showed bulbar urethral stricture with multiple urethrocutaneous fistulae. He underwent anastomotic urethroplasty and excision of the urethrocutaneous fistulae. Histopathology of the excised fistulous tract showed granulomatous pathology suggestive of tuberculosis. Antitubercular treatment was given for 9 months. The patient is voiding well at 12 months follow-up.
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