Isolated prostatic tuberculosis and review of literature

Tapsoba, Abdoul Kader; Hermi, Amine; Traore, Tiéoulé Mamadou; Zehani, Alia; Rhouma, Sami Ben; Nouira, Yassine

doi:10.1016/j.eucr.2021.101924

Cited by 1 publication

(5 citation statements)

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“…An inflammatory state of the prostate is shown with the presence of surrounding lymph nodes, with an increasing signal of the parenchyma on T2-weighted imaging of the entire gland on MRI, corresponding with the report by Cheng et al [7]. According to the authors, prostate tuberculosis often occurs secondarily via the hematogenous route [3]. Immunoassays and PCR tests have high sensitivity of 80% and 95%, respectively, for the diagnosis of tuberculosis [3].…”

Section: Discussionsupporting

confidence: 63%

“…According to the authors, prostate tuberculosis often occurs secondarily via the hematogenous route [3]. Immunoassays and PCR tests have high sensitivity of 80% and 95%, respectively, for the diagnosis of tuberculosis [3]. Unfortunately, these new techniques are difficult to access in developing countries like ours.…”

Section: Discussionmentioning

confidence: 98%

“…Prostate tuberculosis is a rare disease of the urinary system with approximately 40 cases reported to date [3]. The majority of cases of prostate tuberculosis are secondary to infections in the lungs, kidneys, bladder, or epidermis [4,5].…”

Section: Discussionmentioning

confidence: 99%

“…Prostate tuberculosis lesions often respond very well to antitubercular drugs. According to recent statistics, only a few cases causing urinary retention are reported to be catheterized and treated with antitubercular treatment [3]. Most cases are indicated for surgery when medical treatment with antitubercular drugs has failed.…”

Section: Discussionmentioning

confidence: 99%

“…Clinical symptoms are nonspecific and misleading as other diagnoses such as prostate cancer, prostate hypertrophy, or prostatitis. Although irritative voiding is the most common symptom, only six prostate tuberculosis cases presenting with acute urinary retention have been reported [3]. Here, we report a rare case of urinary retention due to tubercular prostatitis that was found incidentally following transurethral resection.…”

Section: Introductionmentioning

confidence: 88%

See 4 more Smart Citations

A Rare Case of Urinary Retention Due to Prostate Tuberculosis in Vietnam

Hau¹,

Hiếu²,

Lien³

et al. 2022

Cureus

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Prostate tuberculosis is a rare clinical form of extrapulmonary tuberculosis, which causes acute urinary retention infrequently. Cases of prostate tuberculosis reported in the literature often show slow progression with insidious pre-existing urinary disturbances. It can pose a diagnostic dilemma, and the treatment protocols can be challenging. Most clinical cases are managed by antitubercular medications, and surgery is usually reserved for cases where medical treatment fails. Here, we present the case of a 62-year-old male patient who presented to the hospital with acute urinary retention, with a history of dysuria for three months. Ultrasound and magnetic resonance imaging showed enlarged prostate pushing into the bladder lumen with an increasing signal of the parenchyma on T2-weighted imaging. In addition, some lymph nodes were noted near the bilateral iliac vessels pointing toward a chronic inflammation condition with elevated prostatic-specific antigen (4.5 ng/mL). Therefore, transurethral resection of the prostate was carried out for voiding purposes, and the biopsy was sent to the pathology laboratory to rule out malignancy. Intraoperative images revealed a prostatic urethral mass (12 mm × 15 mm × 32 mm) pushing into the bladder lumen, and the histopathological results confirmed the diagnosis of prostate tuberculosis. The patient received a sixmonth course of antitubercular medications immediately after surgery with a regimen of rifampicin, isoniazid, pyrazinamide, and ethambutol daily for two months, maintaining daily for four months with rifampicin, isoniazid, and ethambutol. Follow-up treatment was conducted two years later, and the results showed a good response with no recurrence. Prostate tuberculosis is best managed with antitubercular chemotherapy, but surgery is unavoidable for acute complications such as urinary obstruction, as seen in this case.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 98%