A rare case of tubercular recto-prostatic urethral fistula with tuberculous orchitis
Niramya Pathak1, Mohan Keshavamurthy1, Karthik Rao1
1Fortis Hospital, 154,9, Bannerghatta Main Road, Opposite IIM, Sahyadri Layout, Panduranga Nagar, Bangalore, Karnataka, 560076, India.
Abstract:
Tubercular prostatitis and tuberculous orchitis are uncommon manifestations of genitourinary tuberculosis. Recto prostatic urethral fistula is also an extremely rare condition with less than 10 cases of tubercular recto-urethral fistula reported in literature. We present a case of post-tubercular recto-prostatic urethral fistula, which was diagnosed by history, clinical examination, micturating cystourethrogram, cystourethroscopy and MRI abdomen pelvis. The patient was treated by simple prostatectomy with rectal repair with omental interposition along with a diversion ileostomy, followed by a course of Anti tubercular drugs following histopathological confirmation.
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