This is any retrospective review carried out with Kathmandu Style Clinic coming from Jan 2014 to June 2019 which includes 261 individuals run for fistula. The individuals have been analyzed for grow older, kind of fistula, cause, remedy along with surgery final result. Away from 261 people run, 59.38% circumstances experienced obstetric fistula, Thirty eight.69% acquired iatrogenic along with A single.92% acquired upsetting fistula. Most of the patients with obstetric fistula had been between Twenty one for you to Two-and-a-half decades of age whereas iatrogenic fistulae have been between 46-50 years of age. Almost all (Fifty-four.84%) regarding obstetric fistulae ended up vesicovaginal fistula (Fifty-four.84%) as the most typical type (Seventy seven.36%) involving medical demography iatrogenic fistula ended up being burial container fistula right after stomach hysterectomy. This research demonstrated that impeded and overlooked labour used to be the main reason behind genitourinary fistula inside Nepal nonetheless iatrogenic fistula subsequent pelvic surgical procedure is escalating. The particular operative outcome of restoration of fistula ended up being very good.This study established that obstructed and also neglected work used to be the major source of genitourinary fistula within Nepal even so iatrogenic fistula pursuing pelvic surgical procedure is escalating. The surgical result of restoration of fistula has been good. Control over paediatric gemstone disease is challenging because they are regarded high-risk class. Percutaneous nephrolithotomy can be noninvasive method along with definite advantages when it comes to increased gemstone wholesale throughout individual program with out long lasting influence throughout kidney purpose. Retrospective study ended which includes almost all people up to age 20 years that have Percutaneous nephrolithotomy from The month of january The year 2010 to be able to 12 , 2018 in our heart following taking approval through selleck chemical ethical board. Information has been collected relating to sex, operative side, operative period period, stay in hospital, post-operative loss of hemoglobin, stone size, Male rock rating and earlier post-operative issues using Clavien-Dindo grade. Percutaneous nephrolithotomy was over throughout 48 kidney devices in 46 individuals. Twenty-eight people ended up guys and also Of sixteen had been women with mean age of 12.Ninety one ± 5.Twenty two many imply rock dimension 17.16 ± Six.43 millimeter. 91.6% of circumstances experienced Guy’s stone score of a single and 2. Normal percutaneous nephrolithotomy was completed inside Twenty one renal devices, little percutaneous nephrolithotomy within All day and renal products along with supermini percutaneous nephrolithotomy was done throughout 3 kidney units along with total rock free of charge fee of 95.4%. About three people essential extracorporeal shockwave lithotripsy regarding important continuing natural stone. Typical post-operative hemoglobin decline has been One.Only two gm%. Total problems price had been Semi-selective medium Eighteen.1% along with 4.5% of problems becoming rank 1 and two while 13.6% were Level Three or more. Percutaneous nephrolithotomy remains safe along with probable throughout paediatric individuals together with significant rock problem, intricate anatomy as well as shock-wave lithotripsy failing using suitable side-effect and also natural stone free of charge rate.