Tuberculosis of the Prostate and Seminal Vesicles

We report a rare manifestation of tuberculosis of the prostate and seminal vesicles without involvement of the rest of the genito-urinary tract. A 27-year-old male initially presented with clinical and laboratory evidence of pulmonary tuberculosis. Two weeks later, the patient developed dysuria. Ultrasound abdomen showed an enlarged prostate and seminal vesicles with irregular hypoechoic areas and hypervascularity. Transrectal ultrasound showed similar findings. Computed tomography showed enlargement of the prostate and both seminal vesicles; ring-enhancing lesions were evident in the prostate. Transrectal ultrasound-guided prostate biopsy showed caseating granulomas with Langerhans’ giant cells suggestive of tuberculosis.