Genitourinary tuberculosis contributes to 10-14% of extrapulmonary tuberculosis. The most common site of genital tuberculosis is the epididymis. Prostate tuberculosis is uncommon and is usually found incidentally following transurethral resection. A 78 year old man was admitted to our hospital with painless gross hematuria. Urine culture and cytology was negative, but serum prostate specific antigen was 29.7 ng/ml. Prostate biopsy demonstrated prostatitis and nodular hyperplasia. Transurethral prostatectomy was performed and histology revealed prostate tuberculosis.