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ade, Immunohistochemistry, NMP22, Stage. To compare the outcomes of percutaneous nephrolithotomy (PCNL) across younger and elderly, especially PCNL complications in terms of modified Clavian grading system. Cros-sectional comparative study. Department of Urology, Shifa International Hospital, Islamabad, from 2010 till 2018 December at a tertiary care hospital. Patients who underwent unilateral PCNL were reviewed group 1 (younger, age 60 years) had 594 patients; while group 2 (elderly, age 60 years) had 137 patents. Informatio