A grout and lifting tube for casting within a concrete segment. The tube provides enhanced sealing between the tube and the concrete to prevent moisture leakage into a structure formed by a plurality of the concrete segments. The tube includes a generally cylindrical body having an exterior with an anchoring rib structure, a threaded interior, a proximal end, a distal end. An annular gasket is disposed at the proximal end of the tube body, and may be secured to the proximal end of the tube body by a mechanical interlock and/or by unitary co-molding. After the concrete section is placed and grout is pumped through the tube, a plug is threadable into the proximal end of the tube to both compress the gasket between the plug and the tube at a first seal, and to compress the gasket between the plug and the concrete surrounding the proximal end of the tube at a second seal to provide robust, watertight sealing.