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Urologiia 2021 May(2):32-39

TB Research Institute of Ministry of Health of Russia, Novosibirsk, Russia.

Introduction: The problem of chronic prostatitis is still to be resolved.

Aim: to compare the frequency of the main symptoms (pain, dysuria, sexual dysfunction) in patients with chronic bacterial and abacterial prostatitis, as well as prostate tuberculosis (PTB); to determine the prevalence of latent infectious prostatitis in patients with chronic abacterial prostatitis (CAP).

Materials And Methods: A total 73 men who were followed with a diagnosis of chronic prostatitis for at least two years and had a history of at least three exacerbations per year were included in the study. Read More

Urologiia 2021 Mar(1):120-125

TB Research Institute of Ministry of Health of Russia, Novosibirsk, Russia.

A literature review, including 60 national and foreign publications, was carried out. The review focuses on aspects of the pathogenesis and pathophysiology of overactive bladder (OAB). The effect of OAB on a woman's sexual function is described, as well as the features of OAB treatment in comorbid patients and complications of using anticholinergics drugs. Read More

Medicina (Kaunas) 2021 Jan 1;57(1). Epub 2021 Jan 1.

Radiology department, Urology and Nephrology Center, Mansoura University, 35516 Mansoura, Egypt.

There are many acute and chronic infections affecting the urinary tract including bacterial, fungal and viral infections. Urinary tract infections (UTIs) can present in many different patterns with variable degrees of severity varying from asymptomatic and uncomplicated forms to life threatening complicated infections. Cross-sectional imaging techniques-including both computed tomography (CT) and magnetic resonance imaging (MRI)-have become very important tools not only for evaluation of UTIs, but also for detection of associated complications. Read More

Int J Surg Case Rep 2020 2;77:152-156. Epub 2020 Nov 2.

Department of Pathology, Lumbini Medical College and Teaching Hospital Ltd Tansen-11, Pravas, Palpa, Nepal. Electronic address:

Introduction: Prostatic tuberculosis is one of the rarest findings in clinical practice and associated prostatic abscess is even scarce, described in literatures. We present a rare case of prostatic tuberculosis complicated by huge prostatic abscess.

Presentation Of A Case: A 68-year-old male with no any comorbidity presented with history of increased frequency of micturition along with poor flow, urgency and nocturia for 17 days. Read More

Urol Case Rep 2020 Nov 27;33:101355. Epub 2020 Jul 27.

Fortis Hospital, 154,9, Bannerghatta Main Road, Opposite IIM, Sahyadri Layout, Panduranga Nagar, Bangalore, Karnataka, 560076, India.

Tubercular prostatitis and tuberculous orchitis are uncommon manifestations of genitourinary tuberculosis. Recto prostatic urethral fistula is also an extremely rare condition with less than 10 cases of tubercular recto-urethral fistula reported in literature. We present a case of post-tubercular recto-prostatic urethral fistula, which was diagnosed by history, clinical examination, micturating cystourethrogram, cystourethroscopy and MRI abdomen pelvis. Read More

Abdom Radiol (NY) 2021 Apr 12;46(4):1677-1686. Epub 2020 Oct 12.

Department of Radiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.

Urogenital tuberculosis is the most common form of extrapulmonary tuberculosis. Genital organ involvement occurs as a continuum of urinary tract tuberculosis and often presents a diagnostic challenge due to the non-specific nature of the symptoms. Delay in diagnosis may lead to complications such as infertility and perineoscrotal sinuses. Read More

Urol Ann 2020 Apr-Jun;12(2):107-111. Epub 2020 Apr 14.

Department of Urology, Government Medical College, Trivandrum, Kerala, India.

Urologists are confronted with various forms of extrapulmonary tuberculosis (TB) having an atypical presentation. The disease presents late with complications and sequelae. Four cases of extrapulmonary TB who presented to the urology department are reported here. Read More

BMC Infect Dis 2019 Dec 12;19(1):1051. Epub 2019 Dec 12.

National Clinical Research Center for Infectious Diseases, the First Affiliated Hospital, College of Medicine, Zhejiang University, Qingchun Rd, Hangzhou, China.

Background: Cryptococcal prostatitis is a rare clinical disease and has never been reported in China.

Case Presentation: We report on a male HIV-infected patient with pulmonary and prostate cryptococcosis that was misdiagnosed (as tuberculosis) and delayed diagnosed. Although the patients accepted anti-fungal treatment and anti-retroviral treatment finally, the physician's mistakes reflect the rarity of this condition in China. Read More

S Afr J Surg 2019 Dec;57(4):43

Department of Urology, Helen Joseph Hospital, University of Witwatersrand, Johannesburg, South Africa.

Summary: Tuberculous (TB) prostatitis is rare; usually occurring in immunocompromised men. It can mimic benign prostatic hyperplasia (BPH), chronic prostatitis or prostate cancer. This report in an immunocompetent 72-year-old man adds to the clinical spectrum of the five prior reported cases. Read More

Urol Ann 2019 Oct-Dec;11(4):389-392

Department of Urology, IGIMS, Patna, Bihar, India.

Objectives: Tuberculosis (TB) of the prostate is a very rare disease. Most urologists are not familiar with it. Here, we present our experience with five cases of this disease and a review of literature. Read More

S Afr Med J 2019 May 31;109(6):378-381. Epub 2019 May 31.

Department of Critical Care, Charlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

The systemic fluoroquinolones (FQs) have recently been reported to be associated with significant side-effects in susceptible individuals. This has prompted the Food and Drug Administration (FDA) in the USA and the European Medicines Agency (EMA) to issue warnings regarding their use. The FQs should not be used for common bacterial infections, such as urinary tract infections, travellers' diarrhoea and upper and lower respiratory tract infections, unless it is not possible to use another oral agent. Read More

Clin Nucl Med 2019 Sep;44(9):757-760

Department of Nuclear Medicine, Changhai Hospital, Second Military Medical University, Shanghai, China.

Isolated genital tuberculosis is rare. We present a case of bilateral tuberculous epididymo-orchitis showing high FDG uptake on FDG PET/CT. In addition, the patient had a prostatic FDG-avid lesion, consistent with tuberculous prostatitis. Read More

Urologiia 2018 Oct(4):64-71

Novosibirsk Tuberculosis Research Institute of Minzdrav of Russia, Novosibirsk, Russia.

Introduction: Chronic inflammation of the prostate leads to the formation of excess fibrous connective tissue, which hinders patients recovery and aggravates the symptoms.

Aim: This study aimed to confirm the correlation between inflammation and prostatic fibrosis and the abnormalities of urodynamic and microcirculation in the prostate gland in humans, and the possibility of increasing the effectiveness of treatment of patients with chronic nonbacterial prostatitis using antisclerotic therapy.

Material And Methods: The study was carried out in two stages. Read More

Urol Case Rep 2018 Mar 29;17:39-41. Epub 2017 Dec 29.

Department of Radiology in Trauma Center, Aju University School of Medicine, Suwon, South Korea.

Intravesical BCG therapy after transurethral resection of bladder tumor (TURB) is considered the most effective treatment for prophylaxis against the recurrence of high risk non-muscle invasive bladder cancer, and generally well tolerated and infectious complication are rare. We reported a case of granulomatous prostatitis is a patient who had undergone intravesical BCG therapy due to non-invasive superficial urothelial carcinoma of bladder. This patient was diagnosed by prostate biopsy because of PSA elevation without any other voiding symptoms and abnormal abscess pocket in transrectal ultrasonography. Read More

J Cytol 2017 Oct-Dec;34(4):212-216

Department of Pathology, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India.

Background: Elderly men are at high risk of various prostatic diseases carrying high morbidity and mortality rates. For screening large populations, there is a need for a simple, reliable, and noninvasive test with high sensitivity and specificity. Exfoliated prostatic cancer cells can be harvested by prostatic massage and subjected to cytologic examination and molecular tests. Read More

Int Braz J Urol 2018 Mar-Apr;44(2):397-399

Hospital Israelita Albert Einstein, São Paulo, Brasil.

Rev Inst Med Trop Sao Paulo 2017 04 13;59:e20. Epub 2017 Apr 13.

University of Belgrade, School of Medicine, Belgrade, Serbia.

Although tuberculosis (TB) is a curable disease, it continues to be one of the leading infections associated with death in the world. Extra-pulmonary TB (EPTB) occurs in approximately 10% of the total cases, presenting with lymph nodes, pleura, bone and genitourinary tract as the most common locations. Genitourinary tuberculosis, the second most common EPTB, is very difficult to diagnose unless there is a high index of suspicion. Read More

Pan Afr Med J 2016 2;25:130. Epub 2016 Nov 2.

Department of Urology, Hassan II Hospital University Center, Fez, Morocco.

Genitourinary tuberculosis is a common type of extra-pulmonary tuberculosis . The kidneys, ureter, bladder or genital organs are usually involved. Tuberculosis of the prostate has mainly been described in immune-compromised patients. Read More

Urologiia 2016 Nov(5):37-42

Novosibirsk Tuberculosis Research Institute of Minzdrav of Russia.

Introduction: Despite the prevalence of acute cystitis, there are still many unsolved problems of diagnosis and treatment of this disease.

Material And Methods: To determine the nosological structure of dysuria, 126 female patients who sought medical attention for frequent painful urination were examined. To determine the incidence of outpatient visits to an urologist for patients with cystitis, medical records of 6753 patients of municipal outpatient clinic were analyzed. Read More

Urologiia 2016 Aug(4):106-109

FSBI Novosibirsk SRI of Tuberculosis of RMH.

Tuberculosis has been regarded as a counter-regulatory process to cancer. The development of tumors in the kidney that is affected by tuberculosis is considered as extremely rare, almost impossible case. The analysis of the literature on combined/sequential damage of urogenital organs by tuberculosis and cancer, and own clinical observation were performed. Read More

Urologiia 2016 Aug(4):92-96

Novosibirsk Tuberculosis Research Institute of Minzdrav of Russia.

Introduction: Metabolic syndrome (MS) negatively affects the quality of ejaculate, especially in patients with chronic prostatitis.

Material And Methods: To determine the effect of metabolic syndrome on semen parameters in patients with tuberculosis of the prostate (TP), a study of 72 patients with prostatic tuberculosis was conducted. MS was diagnosed when at least three of the five following medical conditions were found: central obesity, elevated levels of plasma triglycerides, high blood pressure, hyperglycemia and decreased levels of high-density lipoproteins. Read More

Urologiia 2016 Apr(2):77-81

Novosibirsk Tuberculosis Research Institute of Minzdrav of Russia.

Introduction: Chronic prostatitis is a prevalent urologic disease, but treatment outcomes are not always satisfactory. As a rule, chronic prostatitis results in chronic pelvic pain syndrome, significantly reducing the patient's quality of life.

Material And Methods: Open pilot prospective non-comparative study was conducted to test the effectiveness of extracorporeal shock wave therapy (ESWT) using Aries (Dornier) machine in patients with chronic prostatitis (CP) of IIIb category. Read More

Urologiia 2016 Aug(3):76-78

Novosibirsk Tuberculosis Research Institute of Minzdrav of Russia.

Introduction: Modern TB patient has lost the physical appearance (habitus phtisicus) typical for the previous years. Moreover, patients with different tuberculosis localizations also have different anthropomorphic characteristics.

Material And Methods: To determine anthropomorphic characteristics of patients with tuberculosis of the prostate, several parameters were compared between 95 male patients with pulmonary tuberculosis and 49 patients with prostatic tuberculosis. Read More

Urologiia 2016 Aug(3):14-18

Novosibirsk Tuberculosis Research Institute of Minzdrav of Russia.

Introduction: Genital tuberculosis impairs male reproductive function. Given that tuberculosis of the prostate has been found at autopsy in 77% of men who died of tuberculosis of all locations, the problem is highly relevant.

Aim: To develop and test a method of restoring/preserving fertility in patients with prostatic tuberculosis and to evaluate its effectiveness. Read More

Abdom Radiol (NY) 2017 07;42(7):1956-1962

Department of Urology, University of Alabama at Birmingham, Faculty Office Tower 1107, 510 20th Street South, Birmingham, AL, 3529, USA.

Purpose: The purpose of the study is to differentiate granulomatous prostatitis (GP) from high-grade prostate cancer (PCa) based on clinical findings and imaging characteristics on multiparametric MRI (MP-MRI).

Methods: Pathology from patients undergoing MRI/US fusion-guided prostate biopsies between 2014 and 2015 was reviewed. Five patients with biopsy proven GP were identified as well as 15 patients with biopsy-proven Gleason score ≥4 + 3 = 7 PCa. Read More

Int J Clin Oncol 2017 Jun 10;22(3):554-562. Epub 2017 Feb 10.

Department of Diagnostic Radiology, Keio University School of Medicine, Tokyo, Japan.

Background: Detailed information is not currently available on the incidence, natural course, and management of asymptomatic abnormal prostate findings incidentally detected by radiologic evaluations after BCG therapy for non-muscle-invasive bladder cancer patients.

Methods: We identified 38 patients who were evaluated by contrast-enhanced CT scans before TUR-BT and after BCG therapy between 2006 and 2012. We evaluated the clinical courses of patients with abnormal radiologic findings of the prostate gland after BCG therapy. Read More

J Ultrason 2016 Dec 30;16(67):404-410. Epub 2016 Dec 30.

Department of Clinical Pathomorphology, Medical University of Lublin, Poland.

Intravesical immunotherapy with attenuated strains of is a widely used therapeutic option in patients with non-muscle-invasive transitional cell carcinoma of the bladder. A rare complication of intravesical therapy with the Bacillus Calmette-Guérin vaccine is granulomatous prostatitis, which due to increasing levels of prostate-specific antigen and abnormalities found in transrectal examination of the prostate may suggest concomitant prostate cancer. A case of extensive granulomatous prostatitis in a 61-year-old patient which occurred after the first course of a well-tolerated Bacillus Calmette-Guérin therapy is presented. Read More

IDCases 2016 23;5:15-20. Epub 2016 Jun 23.

Department of Pathology, Anatomy, and Cell Biology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA 19107, United States.

We describe a case of disseminated Mycobacterium tuberculosis (mTB) with prostatic abscess in a newly diagnosed HIV patient in the United States. The patient is a 34 year-old male who presented with respiratory symptoms and was diagnosed with HIV/AIDS complicated by disseminated mTB infection of the lungs, liver, and prostate. His prostate showed abscess formation on imaging that required drainage however he did not present with any genitourinary complaints. Read More

Infect Agent Cancer 2016 2;11:25. Epub 2016 Jun 2.

Dipartimento di scienze per la promozione della salute e materno-infantile, Università di Palermo, via del vespro 129, Palermo, 90127 Italy.

Background: Intravesical instillation of bacille Calmette-Guérin (BCG) has been established as efficient therapy for superficial bladder carcinoma. Overall, intravesical BCG is well tolerated and results in complications of less than 5 %. However, adverse effects such as granulomatous prostatitis, pneumonitis, hepatitis, sepsis, and hypersensitivity reactions may occur. Read More

BMJ Case Rep 2016 Apr 18;2016:10.1136/bcr-2015-212917. Epub 2016 Apr 18.

Department of Medicine 2, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal.

Tuberculosis (TB) remains one of the leading infectious causes of death throughout the world. Extrapulmonary forms, namely adrenalitis and prostatitis, are rare presentations of TB and pose a difficult diagnostic challenge, given their non-specific manifestations. The authors present a case of a 42-year-old man with long-standing symptoms of fatigue, anorexia, weight loss, nightly fever and sudoresis. Read More