Tuberculosis of the prostate and urethra: A review

Gupta, Nitin; Mandal, AK; Singh, SK

doi:10.4103/0970-1591.42623

Cited by 59 publications

(44 citation statements)

References 30 publications

(45 reference statements)

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“…The hydrodynamic radius R h , determined by Eq. (2), is in good agreement with values determined by other authors (2.7 nm [11], 3.1 nm [26], 3 nm [27]). Furthermore, the results from the light scattering measurements (z-average diameter: 7.2 ± 0.2 nm, polydispersity index (PdI): 0.07) are consistent with the FCS measurements.…”

Section: Fluorescence Correlation Spectroscopy (Fcs)supporting

confidence: 93%

Determination of micelle diffusion coefficients with fluorescence correlation spectroscopy (FCS)

Luschtinetz

Dosche

2009

Journal of Colloid and Interface Science

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Section: Fluorescence Correlation Spectroscopy (Fcs)supporting

confidence: 93%

Determination of micelle diffusion coefficients with fluorescence correlation spectroscopy (FCS)

Luschtinetz

Dosche

2009

Journal of Colloid and Interface Science

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“…Indurated prostate at digital rectal examination and elevated PSA level are features common to both prostate carcinoma and mycobacterial granulomatous prostatitis. Prediposing risk factors that should raise the possibility of mycobacterial granulomatous prostatitis include history of tuberculosis infection, bacillus Calmette-Guérin therapy, and immunosuppressive state (46,47). With treatment, the swelling of the prostate reduces and the caseous abscess cavity resolves (45).…”

Section: Mimics Of Prostate Carcinoma At Mr Imagingmentioning

confidence: 99%

Benign Conditions That Mimic Prostate Carcinoma: MR Imaging Features with Histopathologic Correlation

Kitzing¹,

Prando²,

Varol³

et al. 2016

RadioGraphics

150

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Multiparametric magnetic resonance (MR) imaging combines anatomic and functional imaging techniques for evaluating the prostate and is increasingly being used in diagnosis and management of prostate cancer. A wide spectrum of anatomic and pathologic processes in the prostate may masquerade as prostate cancer, complicating the imaging interpretation. The histopathologic and imaging findings of these potential mimics are reviewed. These entities include the anterior fibromuscular stroma, surgical capsule, central zone, periprostatic vein, periprostatic lymph nodes, benign prostatic hyperplasia (BPH), atrophy, necrosis, calcification, hemorrhage, and prostatitis. An understanding of the prostate zonal anatomy is helpful in distinguishing the anatomic entities from prostate cancer. The anterior fibromuscular stroma, surgical capsule, and central zone are characteristic anatomic features of the prostate with associated low T2 signal intensity due to dense fibromuscular tissue or complex crowded glandular tissue. BPH, atrophy, necrosis, calcification, and hemorrhage all have characteristic features with one or more individual multiparametric MR imaging modalities. Prostatitis constitutes a heterogeneous group of infective and inflammatory conditions including acute and chronic bacterial prostatitis, infective and noninfective granulomatous prostatitis, and malacoplakia. These entities are associated with variable clinical manifestations and are characterized by the histologic hallmark of marked inflammatory cellular infiltration. In some cases, these entities are indistinguishable from prostate cancer at multiparametric MR imaging and may even exhibit extraprostatic extension and lymphadenopathy, mimicking locally advanced prostate cancer. It is important for the radiologists interpreting prostate MR images to be aware of these pitfalls for accurate interpretation.

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“…It is probable that the stasis of urine infected by KB in the urethra has a major role in developing urethral TB [1]. The isolated urethral form of TB, as was the case with our patient, is rare [5,6]. …”

Section: Discussionmentioning

confidence: 73%

Isolated urethral tuberculosis in a middle-aged man: a case report

Bouchikhi¹,

Amiroune²,

Tazi³

et al. 2013

J Med Case Reports

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IntroductionUrogenital tuberculosis is a frequent disease in endemic countries. It is characterized by clinical polymorphism. The isolated urethral form is exceptional, even in countries with endemic tuberculosis. We present a rare case of urogenital tuberculosis in a man revealed by urethral narrowing and multiple urethro-scrotal fistulas.Case presentationThe patient, a Moroccan man, was 40 years old. He visited our hospital for a urology consultation and presented with dysuria, purulent discharge and a meatic penoscrotal fistula. A retrograde and voiding urethrocystography was performed and revealed an extended narrowing of the whole anterior urethra associated with multiple fistulous portions toward the scrotum and perineum. At this stage, we reached a diagnosis of nonspecific sclero-inflammatory urethral stricture with complicating fistulas. We decided to perform a urethroplasty enlargement to clear the narrowing urethral sinus tracts. The evolution was marked by delayed wound healing associated with the persistence of fistulas extending into the corpus cavernosum with purulent discharge. It was at this point in the treatment that we suspected tuberculosis. Multiple biopsies were then performed on the periurethral tissue and fistula tracts. The histological examination confirmed urethral tuberculosis and showed the presence of giant cell epithelial lesions with caseous necrosis characteristic of tuberculosis. The treatment for tuberculosis was immediately established and the evolution was marked by a localized, rapid and significant improvement. A second-stage urethroplasty was scheduled for two months after the start of his antituberculous treatment.ConclusionsUrogenital tuberculosis is common, but isolated urethral involvement is very rare even in countries with endemic tuberculosis. We urge practitioners, and especially urologists, to consider the disease in their investigation whenever given clinical signs are declared.

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Tuberculosis of the prostate and urethra: A review

Cited by 59 publications

References 30 publications

Determination of micelle diffusion coefficients with fluorescence correlation spectroscopy (FCS)

Determination of micelle diffusion coefficients with fluorescence correlation spectroscopy (FCS)

Benign Conditions That Mimic Prostate Carcinoma: MR Imaging Features with Histopathologic Correlation

Isolated urethral tuberculosis in a middle-aged man: a case report

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