Background: Urinary calculi is one of the commonest diseases of urinary tract. A comprehensive clinical profiling of bilateral urinary calculi was conducted in present study.

Methods: Thirty–three eligible patients of bilateral urinary calculi were enrolled & evaluated in this two year observational study at our tertiary care centre.

Results: Most patients presented with abdominal pain (28, 84.8%). Hydronephrosis was observed in 8 (24.2%) cases, hydroureter in 4 (12.1%) cases and both in 10 (30.3%) cases.  21 patients were operated and 12 patients were treated conservatively with hydrotherapy. Pyelolithotomy was the most common operation performed (8, 38.8%). Calcium radical was the most common component (19, 90.4%). No recurrences were reported.

Conclusion: Studies with larger sample size are recommended for corroboration of the findings