Tuberculosis is a common infectious disease in developing countries, which can cause a variety of complications and atypical manifestations with high morbidity and mortality. The urogenital form is rarely suspected, resulting in delayed diagnosis or even no diagnosis, which can have serious consequences for the patients, such as chronic endstage renal disease. We report on a patient with chronic endstage renal failure caused by a delayed diagnosis of bilateral renal tuberculosis and a literature review on this topic.