Abstract

1. Abstract
We describe a case of tuberculous rectal prostatic urethral fistula in 34yrs old HIV positive male. He presented with passage of urine per anal during voiding without fecaluria, preceded with lower urinary tract symptoms, evening fever, night sweats and significant unintentional weight loss in which diagnosis was confirmed through tissue histopathology. We treated this patient conservativel, initially by suprapubic urinary diversion followed by standard ant tubercular therapy for extra pulmonary tuberculosis. We had a holistic approach of which the treatment team to this rare condition included urologist, pathologist, radiologist and infectious disease specialist at Muhimbili National hospital in Dar es Salaam. We report this case because of its rarity, few published cases in literatures and moreover it has not reported previously elsewhere in Tanzania.