prostatic tuberculosis

Prostate is most common site for tuberculosis in male GU tract (involved in >90% of cases with GU involvement), due to hematogenous spread from lungs or direct invasion from urethra.

Synopsis

 May perforate into urethra and extend into bladder or rectum
 May calcify or become small and fibrotic, resembling carcinoma
 Diagnosis: fluctuant, tender zones, usually bilateral, on digital rectal examination