Genitourinary tuberculosis (GUTB) is very uncommon in children because the symptoms of renal tuberculosis do not appear for 3-10 or more years after the primary infection. We report on a child presenting with lower urinary tract symptoms with urine showing acid fast bacilli. A 16 year old male presented to the Urological services of the hospital with lower urinary tract symptoms (LUTS) of storage of two months duration. Augmentation cystoplasty was done using 15 cms of terminal ileum. Postoperative period was uneventful and following catheter removal the child was able to void with no residual urine.

Keywords: Tuberculosis; Genitourinary; Children; Antitubercular Therapy; Mycobacterium Tuberculosis; Augmentation Cystoplasty