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Year : 2000  |  Volume : 17  |  Issue : 1  |  Page : 51-52

Tuberculous gangrene of the penis

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
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Source of Support: None, Conflict of Interest: None

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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

How to cite this URL:
Rangnekar N P, Sanzgiri M D, Ali N I, Pathak H R. Tuberculous gangrene of the penis. Indian J Urol [serial online] 2000 [cited 2023 Feb 5];17:51-2. Available from:

   Case Report Top

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 Top

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 Top

1.Narayana AS, Kelly DG, Duff FA. Tuberculosis of the penis. Br J Urol 1976; 48: 274.  Back to cited text no. 1  [PUBMED]  
2.Venkataramaiah NR, van Raalte JA, Dutta SN. Tuberculous ulcer of the penis. Postgrade Med Jour 1982; 58: 59.  Back to cited text no. 2    
3.Ramesh V, Vasanthi R. Tuberculous cavernositis of the penis. Genitourinary Med 1989; 65: 58-59.  Back to cited text no. 3    


  [Figure 1], [Figure 2]


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