Shekar PA, Patel H, Dumra A, et al. - This study was attempted to explore the clinical presentation, management strategies and outcomes of pediatric urogenital tuberculosis (UGTB) managed in a tertiary care center. Researchers examined case records of children and adolescents ≤18 years diagnosed with UGTB during the period July 1998 to June 2018 at our center. They further studied clinical features, organ involvement, investigations, treatment, and outcome of therapy. For this analysis, 41 children and adolescents were included (M: F=22:19), with a mean age of 14.8 ±3.9 years. According to the findings, urogenital tuberculosis presents with a wide spectrum of clinical features and pathological lesions. The outcomes suggested that diagnosis is often delayed because of late presentation and many children present with cicatrization sequelae. In the majority of cases, antitubercular drug therapy and judicious application of minimally invasive diversions and surgery (both ablative and reconstructive) achieve satisfactory results. The findings revealed that children undergoing major surgical reconstruction, in particular, need to be followed up rigorously and counselled about the possibility of development of renal failure.