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CASE REPORT
Year : 2016  |  Volume : 8  |  Issue : 4  |  Page : 493-495

Primary tuberculosis of urethra presenting as stricture urethra and watering can perineum: A rarity


1 Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India
2 Department of Pathology, King George's Medical University, Lucknow, Uttar Pradesh, India
3 Department of Medicine, HIMS, Lucknow, Uttar Pradesh, India

Correspondence Address:
Gaurav Prakash
Department of Urology, King George's Medical University, Lucknow - 226 003, Uttar Pradesh
India
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DOI: 10.4103/0974-7796.192093

PMID: 28058001

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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.


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