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CASE REPORT

Prostatic tuberculosis incidentally discovered during transurethral resection of prostate with subsequent diagnosis of rectal and pulmonary involvement: a case report

Shao-Chen Su, Yi-Sheng Lin*, Zhon-Min Huang*, Chao-Yu Hsu, Yen-Chuan Ou
Division of Urology, Department of Surgery, Tungs’ Taichung Metroharbor Hospital, Taichung, 435403, Taiwan
* Corresponding Author: Yi-Sheng Lin. Email: email; Zhon-Min Huang. Email: email

Canadian Journal of Urology https://doi.org/10.32604/cju.2025.073769

Received 25 September 2025; Accepted 16 December 2025; Published online 04 January 2026

Abstract

Background: Tuberculosis (TB) is a globally prevalent infectious disease, including in Taiwan. Prostatic TB is a rare manifestation of genitourinary tuberculosis (GU-TB), which is the third most common extrapulmonary form of the disease. However, due to its insidious onset and non-specific symptoms, prostatic TB is often diagnosed late. Case Description: We report a case of a 72-year-old male patient who presented with lower urinary tract symptoms (LUTS) and painful scrotal swelling. Following transurethral resection of the prostate (TURP), histopathological examination revealed prostatic TB. The patient subsequently had abdominal cramping and diarrhea. A colonoscopy detected an ulcer-like lesion in the rectum, indicating mycobacterial infection and cytomegalovirus colitis. Chest computed tomography revealed pulmonary involvement, and the patient was started on a six-month course of anti-TB treatment. Conclusions: This case highlights the importance of considering TB in the differential diagnosis of LUTS and highlights the need for screening for other potential sites of involvement, particularly in the lungs, when a diagnosis of prostatic TB is made.

Keywords

prostatic tuberculosis; pulmonary tuberculosis; rectal tuberculosis; lower urinary tract symptoms; case report

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