Genitourinary tuberculosis is the most common manifestation of an extrapulmonary tuberculous infection. A 54 year old patient was presented with a painful & swelling right testicular mass and left flank pain. Under the clinical diagnosis of right testicular tuberculosis along with left kidney, ureter, bladder tuberculosis, a right orchiectomy and left double J stenting, as well as endoscopic bladder biopsy were performed. The radiological and pathological diagnosis revealed testicular tuberculosis, with involvement of the left kidney, ureter and bladder.