Open AccessPrimary tuberculosis of urethra presenting as stricture urethra and watering can perineum: A rarity
Author(s) -
Gaurav Prakash,
Vishwajeet Singh,
Rahul Janak Sinha,
Suresh Babu,
Ankur Jhanwar,
CN Mehrotra
Publication year - 2016
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.192093
Subject(s) - medicine , perineum , surgery , suprapubic cystostomy , urethra , urethroplasty , urethral stricture , voiding cystourethrogram , lower urinary tract symptoms , urinary system , anastomosis , prostate , anatomy , pathology , disease , reflux , vesicoureteral reflux , cancer
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.