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His first senior start in domestic rugby came during the 2014 Vodacom Cup competition in April 2014. He came on as a substitute against Kenyan invitational side Simba XV, with the South African side winning 65–29. His first start came three weeks later, as Western Province suffered a surprise defeat against the SWD Eagles in George and he also saw some game time in their quarter-final match, where they got eliminated from the competition by the Pumas in Nelspruit.

In May 2014, Sithole was drafted into the Stormers squad for their 2014 Super Rugby match against the Sharks in Durban.

He also played for the UCT Ikey Tigers during the 2013 Varsity Cup competition.

In 2013, Sithole was a member of the South African Under-20 side that competed at the 2013 IRB Junior World Championship in France. After substitute appearances in their pool stage matches against the United States and England, he started in their final pool stage match against hosts France. He was an unused substitute as South Africa got eliminated from the competition in the Semi-finals against Wales, but was restored to their third place play-off match against New Zealand, helping South Africa to a third-place finish in the tournament.

He then moved to Cape Town to join Western Province. He played for the Western Province U19 side during the 2012 Under-19 Provincial Championship (making thirteen appearances as he helped the team win the competition) and for the Western Province U21 side during the 2013 Under-21 Provincial Championship (once again helping him team win the tournament).

As a scholar at Westville Boys' High School, Sithole was included in the KwaZulu-Natal squad at the Under-16 Grant Khomo Week in 2009.

Sithembiso Mfundo Siphesihle 'Sti' Sithole (born 31 March 1993 in Durban, South Africa) is a South African rugby union player for the Lions in Super Rugby, the Golden Lions in the Currie Cup and the Golden Lions XV in the Rugby Challenge. His regular position is loosehead prop.