Urinary myiasis; a case report and literature review.

Urinary myiasis, a rare condition caused by the infestation of fly larvae in the urinary tract, poses diagnostic challenges due to its nonspecific symptoms and low prevalence. We report a 52-year-old woman with persistent dysuria, frequency despite multiple treatments for suspected infections. Cystoscopy revealed erythema and debris, but imaging and laboratory tests were unremarkable. A live larva was identified in urine analysis, confirming the diagnosis. Treatment involved improved hygiene and hydration. Prompt recognition and management is needed to prevent complications. Awareness of this rare condition is crucial, particularly in individuals with poor sanitation and underlying urinary tract abnormalities.