Non-Specific Granulomatous Prostatitis: A Diagnosis of Exclusion

Granulomatous prostatitis is a rare inflammatory condition of prostate. The diagnosis of this entity continues to remain a clinical surprise for the treating urologist. They represent a clinical diagnostic dilemma as some of the cases mimic malignancy. The radiological findings and serum prostate specific antigen levels are nonspecific in their diagnosis. The definitive diagnosis can be established only by histopathological examination. It is essential to typify the granulomatous prostatitis histologically, so as to guide the management. The presence of Langhans type and foreign body type giant cells with the presence of necrosis does not confirm the diagnosis of tubercular prostatitis, confirmation in fact requires Ziehl-Neelsen staining and tubercular polymerase chain reaction. Nonspecific granulomatous prostatitis represents the majority of the cases of granulomatous prostatitis. S ur g er y S ec tio n Non-Specific Granulomatous Prostatitis: A Diagnosis of Exclusion V.S Kundargi, nileSh guru, S.B Patil, B.S Patil, KShitiz ranKa CASE REPORT A 60-year-old male patient presented to Urology Department with 6 months history of increased frequency of micturition, nocturia, difficulty in micturition and hesitancy. Patient had no history of pulmonary or extrapulmonary tuberculosis. On digital rectal examination, prostate was firm in consistency. His American Urological Association (AUA) symptom score was 24 (severe symptoms). Urine Analysis was within normal limits. Ultrasonography abdomen and pelvis done suggested 40(5x4x4)gm of prostate [Table/Fig-1] with 190ml post void