Urethrocutaneous fistula: a rare presentation of penile tuberculosis

Abstract

A man in his 50s presented with two urethrocutaneous fistulae with intermittent dribbling of urine from the opening of fistula on the surface of glans penis. A skin biopsy from indurated margin of fistula was suggestive of fibrosing granulomatous reaction. Anti-tubercular therapy was given with a diagnosis of penile tuberculosis and there was 50% improvement within two months of treatment.

An interesting case of vesical fistula complicating urogenital tuberculosis

“…Due to rarity of such an emergency presentation, the diagnosis can often be missed during the management of bladder perforation unless the surgeon is well versed with the clinical picture of UGTB. Chronic non-healing fistulae along the urinary tract are another common presentation of tuberculosis which is seen in endemic countries and was also seen in our index patient [4,5].…”

“…The genitourinary tract is one of the regions that can be affected by extrapulmonary tuberculosis where the diagnosis can be quite difficult [1,2]. A high index of suspicion and an awareness of the atypical clinical manifestations of urogenital tuberculosis (UGTB) are important, especially in patients from regions where tuberculosis continues to be a major public health problem [3][4][5]. Herein, we report a case of post-traumatic, scarred, small capacity bladder with non-healing suprapubic fistula who had a history of bladder perforation following trivial trauma for which an emergency laparotomy with bladder repair was done.…”