A retrospective analysis of all cases of steinstrasse and their management was done at our centre over a ten year period. Out of total cases of ESWL at our centre 113(5.6%) developed steinstrasse.  Among them 66,34 and13 had Coptcoat Type I,II, and III steinstrasse respectively. They were grouped into group I(steinstrasse without obstruction or infection) and Group II(Coptcoat Type II/III with obstruction or infection. Group I were treated expectantly or with repeat ESWL. Group II patients underwent ureteroscopic treatment and clearance of stone fragment. One patient with obstruction and urosepsis underwent PCN and later the fragments cleared by ureteroscopy . There was no loss of renal function due to steinstrasse in our study.