Abstract: Mycobacterium tuberculosis is the etiologic agent of tuberculosis which remains the seventh leading cause of death, globally. It usually affects the lungs but can also infect other parts of the body. Extra pulmonary tuberculosis (EPTB) includes lymphatic, pleural, skeletal, ocular, endometrial, pancreatic, genitourinary, cerebral, and meningeal or military tuberculosis.In India EPTB, particularly of urinary tract is occasionally being reported. The idea of this article is to diagnose TB of urinary tract which presents with sterile pyuria.