Tubercular Recto-Prostatic Fistula: A Rare Entity
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 7
Abstract
Recto-prostatic fistulas are rare entities in any urology outdoor. Most of the cases reported are by paediatric surgeons dealing with ano-rectal malformations or by surgeons involved in misfortunes of radical prostatectomies. There is scanty data on the inflammatory causes of recto-prostatic fistulas. Despite the prevalence of uro-genital tuberculosis in the developing world, very little literature is available on tuberculosis forming a cause of recto-prostaticurethral fistula. Prostatic biopsy clinches the diagnosis and urethroscopy may actually demonstrate the fistulous opening in the prostatic urethra. Recent studies advocate a conservative approach (ATT Regimen) with/without urinary/faecal diversion. We report a similar such case which was treated with Anti-tubercular therapy without faecal/urinary diversion. The lesion healed with minimal scarring and the patient was able to void urine normally after 6 months of Anti tubercular therapy. Based on the review of literature and our own case we propose that high grade of clinical suspicion should be kept on the tubercular cause of recto-prostatic fistulas in endemic areas and that conservative management should be the first line of treatment.
Authors and Affiliations
Dr. Raghav Tantia
Keywords
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