Abstract
We present 8 cases of tuberculosis of the prostate gland, in 7 of which there was a co-existing renal tuberculosis. In only one case were there no signs of urinary tuberculosis. This patient had had a pulmonary and genital tuberculosis which had apparently healed. The prostate gland was completely calcified when the patient was examined by us. Total destruction of the prostate (“forebladder”) is always the result of renal tuberculosis. Removal of the renal focus usually results in the healing of the prostatic process. So-called “forebladder” results in incontinence of urine which may disappear spontaneously or may require surgical treatment (Lowsley's perineal plication). Hematogenous invasion of the prostate without involvement of the urinary tract may have a benign course, although there is always the possibility of tuberculous meningitis as a result of sexual excesses. Diagnosis is readily made by means of cysto-urethrograms. Treatment of tuberculosis of the prostate should consist of eradication of other foci–especially an infected kidney–and general measures (calcium, vitamins, etc.) together with vaccines and intravenous administration of copper-urea compounds.
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