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Letter
“Water can” penis caused by tuberculosis
  1. K Karthikeyan,
  2. D M Thappa,
  3. K N Shivaswamy
  1. Dermatology and STD Department, JIPMER, Pondicherry - 605006, India
  1. Correspondence to:
 Professor D M Thappa
 Dermatology and STD Department, JIPMER, Pondicherry - 605006, India; dmthappajipmer.edu

https://doi.org/10.1136/sti.2003.007203

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    Tuberculosis of the penis is a very rare condition, clinically manifesting as primary or secondary tuberculosis or tuberculide.1 Penile involvement secondary to urethral tuberculosis is rare and its presentation with periurethral fistulas leading to “water can” penis is unknown. We report this rather intriguing condition in a patient.

    A 40 year old male agricultural labourer presented with a 1 year history of purulent discharge per urethra with multiple discharging sinuses on the tip of the penis. The patient was asymptomatic about a year ago, when he developed multiple nodules on the glans penis that ulcerated to discharge purulent material. These nodules became persistent sinuses and discharged pus. Within a few weeks, he started passing urine through these sinuses in the glans penis. He also experienced difficulty in micturition but it was not associated with pain or strangury. The patient had no systemic complaints. He was married …

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