Incidental Tubercular Prostatitis Diagnosed After TURP in a Patient with BPH: A Case Report

Abstract Benign prostatic hyperplasia (BPH) is common in elderly men, but tubercular involvement of the prostate is rare. This case emphasizes the need for vigilance when encountering atypical intraoperative findings. A 65-year-old male presented with lower urinary tract symptoms attributed to BPH. He underwent transurethral resection of the prostate (TURP). Intraoperatively, purulent pockets were noted. Histopathological evaluation of resected prostate chips revealed granulomatous inflammation. Ziehl-Neelsen stain confirmed the presence of acid-fast bacilli, leading to a diagnosis of tubercular prostatitis. Tubercular prostatitis can present incidentally during routine surgical management of BPH. Histopathological examination is crucial for diagnosis, particularly in endemic areas. Histopathological review of TURP specimens can reveal rare coexisting conditions like tubercular prostatitis in patients with typical BPH.