eMedicine Specialties > Urology > Infections and Related Inflammatory Conditions

Prostatitis, Tuberculous: Follow-up

Author: Vernon M Pais Jr, MD, Assistant Professor, Department of Surgery, Section of Urology, Dartmouth Medical School
Coauthor(s): Levi A Deters, MD, Staff Physician, Department of Urology, Dartmouth Hitchcock Medical Center; Jason R Bylund, MD, Resident, Division of Urology, University of Kentucky; Andrew A Wagner, MD, Staff Physician, Department of Surgery, Division of Urology, University of Massachusetts Medical Center
Contributor Information and Disclosures

Updated: Jun 26, 2009

Follow-up

Further Outpatient Care

  • Periodically check semen cultures to monitor treatment, and, if results are positive after 3 months, bacterial resistance to the current drug regimen or patient noncompliance should be strongly suspected.
  • Histologic follow-up via repeat transrectal ultrasound–guided prostate biopsies has been recommended to ensure the efficacy of treatment.

Inpatient & Outpatient Medications

Deterrence/Prevention

  • Condom use is encouraged to prevent possible transmission to sexual partners.

Complications

  • Infertility
  • Abscess
  • Perineal sinus or fistula
  • Sexual transmission

Prognosis

  • Most patients with prostatic tuberculosis (TB) can be cured with early treatment with a multiple-drug regimen.

Patient Education

Miscellaneous

Medicolegal Pitfalls

  • Nonspecific symptoms, including irritative voiding, may be the only complaints associated with tuberculous prostatitis. Significant differential diagnostic overlap requires maintaining a high index of suspicion for prostatic tuberculosis (TB), particularly in men with a history of exposure to or infection with TB.
  • To prevent the emergence of resistant organisms, a multidrug regimen is the primary treatment. Because of the length of therapy and the adverse effects, maintaining patient compliance is difficult; therefore, directly observed therapy is often recommended.
 


More on Prostatitis, Tuberculous

Overview: Prostatitis, Tuberculous
Differential Diagnoses & Workup: Prostatitis, Tuberculous
Treatment & Medication: Prostatitis, Tuberculous
Follow-up: Prostatitis, Tuberculous
References
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Further Reading

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Keywords

tuberculous prostatitis, tuberculosis, TB, prostatic TB, prostatic tuberculosis, consumption, phthisis, Mycobacterium tuberculosis, M tuberculosis, prostatic urethral tuberculosis, prostatic urethral TB, prostatic parenchymal tuberculosis, prostatic parenchymal TB, tuberculous prostatic abscess, genitourinary tuberculosis, GU tuberculosis, genitourinary TB

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Contributor Information and Disclosures

Author

Vernon M Pais Jr, MD, Assistant Professor, Department of Surgery, Section of Urology, Dartmouth Medical School
Vernon M Pais Jr, MD is a member of the following medical societies: Alpha Omega Alpha, American Urological Association, Endourological Society, Sigma Xi, and Society of Laparoendoscopic Surgeons
Disclosure: Nothing to disclose.

Coauthor(s)

Levi A Deters, MD, Staff Physician, Department of Urology, Dartmouth Hitchcock Medical Center
Disclosure: Nothing to disclose.

Jason R Bylund, MD, Resident, Division of Urology, University of Kentucky
Disclosure: Nothing to disclose.

Andrew A Wagner, MD, Staff Physician, Department of Surgery, Division of Urology, University of Massachusetts Medical Center
Andrew A Wagner, MD is a member of the following medical societies: American Urological Association
Disclosure: Nothing to disclose.

Medical Editor

Richard A Santucci, MD, FACS, Chief of Urology, Detroit Receiving Hospital; Specialist-in-Chief of Urology, Detroit Medical Center; Chief of Urologic Trauma Surgery, Sinai Grace Hospital; Director, The Center for Urologic Reconstruction; Clinical Professor of Urology, Michigan State College of Medicine
Richard A Santucci, MD, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, and Société Internationale d'Urologie (International Society of Urology)
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

CME Editor

J Stuart Wolf Jr, MD, FACS, David A Bloom Professor of Urology, Director of Division of Minimally Invasive Urology, Department of Urology, University of Michigan
J Stuart Wolf Jr, MD, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Catholic Medical Association, Endourological Society, Society for Urology and Engineering, Society of Laparoendoscopic Surgeons, Society of University Urologists, and Society of Urologic Oncology
Disclosure: Terumo Corporation Consulting fee Consulting; Omeros Corporation Consulting fee Consulting

Chief Editor

Edward David Kim, MD, FACS, Professor of Surgery, Division of Urology, University of Tennessee Graduate School of Medicine; Consulting Staff, University of Tennessee Medical Center
Edward David Kim, MD, FACS is a member of the following medical societies: American College of Surgeons, American Society for Reproductive Medicine, American Society of Andrology, American Urological Association, and Tennessee Medical Association
Disclosure: Lilly Consulting fee Consulting; Astellas Consulting fee Speaking and teaching; Indevus Consulting fee Speaking and teaching

 
 
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