Prostatic abscesses are most commonly caused by bacterial uropathogens, but may also be due to fungi or mycobacteria. We present a case of disseminated tuberculous infection presenting as a prostatic abscess. Genitourinary tract tuberculous is an uncommon clinical entity, with prostatic involvement being the least common form. Diagnosis is by acid-fast bacilli smear and culture of prostatic fluid/tissue, with polymerase chain reaction as an emerging tool for the early recognition of these infections. Treatment is with prostatic debridement and initiation of standard 4-drug antituberculosis medications.