Background: Renal stone or calculus is one the most common disease of the urinary tract. Sharp, server pain from the kidney stones brings over 4,50,000 people to emergency department every year. The surgical management of renal stone disease have changed dramatically. Here a clinical study of 25 patients of renal calculus has been under taken. An attempt has made to study the ectiopathology of stone formation with clinical features and its surgical management.

Methods: in  this study all patients diagnosed as renal calculi and admitted in surgical and urology wards at heritage institute of medical sciences varanasi during the period of October 2016 to june 2017. A detailed history, complete physical examination routine and specific investigation were done.

Inclusion criteria:

• All Cases of renal calculi managed by non operative medical line of treatment.
• Stones below the pelviureteric junction.
• Renal stones in immune compromised patients.
• Associated neoplaisa (Benign, and malignant)
• Associated congenital renal ureteric and urinary bladder anomalies.

Results and Conclusion: 25 cases were studied, incidence is common between 3^rdand 5^th decase. 14 (56%) were of mixed diet. All the 25 cases have presented with pain in the lumbar region of login. After investigations different surgical procedures were under taken on these patients and there were no operative difficulties encountered. Out of 25 patients only 15 patients turned up for follow up all were symptom free till their last visit, remaining 10 patients did not come for follow up all were symptom free till their last visit, nephrolithiasis, pyelolithotomy, Nephrolithotomy, nephrectomy, PCNL, ESWL;, X- ray KUB, intravenous urography.   

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Dr Yash Pandey

Senior Resident, HIMS Varanasi INDIA