A rare case of tubercular recto-prostatic urethral fistula with tuberculous orchitis

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. The patient was treated by simple prostatectomy with rectal repair with omental interposition along with a diversion ileostomy, followed by a course of Anti tubercular drugs following histopathological confirmation.