Indian Journal of Urology
CASE REPORT
Year
: 2000  |  Volume : 17  |  Issue : 1  |  Page : 51--52

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




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;17:51-52


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 2021 Sep 22 ];17:51-52
Available from: https://www.indianjurol.com/text.asp?2000/17/1/51/41017


Full Text

 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

1Narayana AS, Kelly DG, Duff FA. Tuberculosis of the penis. Br J Urol 1976; 48: 274.
2Venkataramaiah NR, van Raalte JA, Dutta SN. Tuberculous ulcer of the penis. Postgrade Med Jour 1982; 58: 59.
3Ramesh V, Vasanthi R. Tuberculous cavernositis of the penis. Genitourinary Med 1989; 65: 58-59.