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Urinary stones are one of the most common complications of urinary diversions. We report the case of a 40-year-old man with renal and ureteric stones after radical cystectomy and ileal conduit. Normally renal stones are fragmented and removed through the ureters and urethra. However, in this patient with ileal conduit, the neo ureteric orifices being extremely narrow and because of the delicate wall of the ileum percutaneous nephrolithotomy has become the best option of treatment.