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CASE REPORT |
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| Year : 2000 | Volume
: 17
| Issue : 1 | Page : 51-52 |
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Tuberculous gangrene of the penis
NP Rangnekar, MD Sanzgiri, N Imdad Ali, HR Pathak
Department of Urology, Topiwala National Medical College and B. Y Nair Charitable Hospital, Mumbai, India
Correspondence Address:
N P Rangnekar
5, Radha Bhuvan, 176, L. J. Road, Shivaji Park, Dadar, Mumbai - 400 028
India
 Source of Support: None, Conflict of Interest: None  | Check |
Keywords: Penis; Tuberculosis; Gangrene.
How to cite this article:
Rangnekar N P, Sanzgiri M D, Ali N I, Pathak H R. Tuberculous gangrene of the penis. Indian J Urol 2000;17:51-2 |
 Case Report | |  |
A 45-year-old male patient presented with painless, gradual, blackening of the glans penis over a period of 3 months. There was associated purulent discharge at the corona. He had history of ritual circumcision performed in childhood. Patient's wife had suffered from pulmonary tuberculosis and died 3 years back. There was no history of trauma, fever or exposure to venereal disease. On examination there was thick, unyielding, tenacious slough covering the glans entirely up to the corona. Debrided, desloughed tuberculous ulcer is seen in [Figure 1]. A purulent collection was present beneath the slough. There was no evidence of nodule, plaque or tuberculides. The testes, epididymes and vas were normal. Bilateral inguinal lymphadenopathy was present. Multiple biopsy of the penile lesion showed classical features of tuberculous granuloma [Figure 2]. Patient was treated with anti-tubercular four-drug regimen for 6 months. The ulcer was desloughed and showed complete healing after 2 months.
| Comments | | |
Primary penile tuberculosis is very rare. [1],[2] This patient presented with penile gangrene. The infection was probably acquired through sexual contact. The penile gangrene could be related to cavernositis, [3] and microarteritis of the penile vessels due to tubercular infection. The histopathology of the lesion confirmed the diagnosis. The response to the anti-tubercular treatment was rapid. Hence early biopsy of a suspicious penile lesion is mandatory because unusual benign lesions, readily amenable to drug therapy can be detected early.
| References | | |
| 1. | Narayana AS, Kelly DG, Duff FA. Tuberculosis of the penis. Br J Urol 1976; 48: 274.  [PUBMED] |
| 2. | Venkataramaiah NR, van Raalte JA, Dutta SN. Tuberculous ulcer of the penis. Postgrade Med Jour 1982; 58: 59. |
| 3. | Ramesh V, Vasanthi R. Tuberculous cavernositis of the penis. Genitourinary Med 1989; 65: 58-59. |
[Figure 1], [Figure 2]
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