Ureteral tuberculosis and renal tuberculosis are both urinary tract tuberculosis, but the sites of infection are different. Ureteral tuberculosis is an infection of the ureteral region generally secondary to tuberculous infection of the kidneys, whereas tuberculosis of the kidneys is mainly secondary to tuberculous infection of the lungs causing kidney infections. Initially, renal and urinary TB do not cause specific symptoms; clinically, pus and/or microscopic hematuria may be found incidentally. Once the disease progresses to bladder involvement, symptoms of urinary frequency, dysuria, urgency, and nocturia develop in about half of the patients; one-third of the patients may present with hematuria and low back pain. Prolonged renal parenchymal involvement may result in tubular proteinuria, but often not to the level of nephropathy. Systemic symptoms are relatively rare, such as fever and weight loss. Both types of TB are classified as urinary tract TB, and the treatment regimen generally involves the use of anti-tuberculosis drugs, including isoniazid, rifampicin, pyrazinamide, and ethambutol, with specific medications administered under the guidance of a specialist. If pulmonary tuberculosis, accompanied by symptoms of the urinary tract, to consider the possibility of urinary tract tuberculosis, it is recommended to seek medical attention in a timely manner.