Patient has history of bilateral renal and ureteric calculi. Initially diagnosed in July 2025 with right mid-ureteric obstructive stone (~7 mm) causing hydronephrosis, and large left renal pelvis stone (~2 cm). Underwent left DJ stenting with ESWL, followed by definitive surgery in Aug 2025—right URS and left RIRS with laser lithotripsy. Both DJ stents removed. Stone analysis showed uric-acid composition. Latest USG (Dec 2025) shows small residual left lower calyx stone (5×3 mm) and persistent mild right hydroureter/hydronephrosis. Patient currently has mild right-sided pain. Renal function previously normal. Need evaluation for persistent obstruction vs post-operative change and metabolic stone prevention.