Introduction: Ureteral obstruction is a heterogeneous clinical entity, and it is often challenging for the clinician to determine the optimal method of decompression.

Objectives of the study: The main objective of the study is to find the percutaneous nephrostomy verses ureteral stenting for the analysis and management of urinary track obstruction.

Methodology of the study: This cross sectional study was conducted at Department of Urology, DHQ Teaching Hospital Gujranwala during January 2021 till October 2021. The data was collected from 55 patients. The data was collected with the permission of ethical committee of hospital. In all patients, the procedures were conducted by urologists.

Results: There were 55 patients in this study. The mean age was 57.65 ± 2.54 years. There were 33 patients with ureteral stents and 22 (40%) with PCN tubes. The mean length of redirection was 17.8 ± 4.6 months in the stent bunch versus 13.1 ± 4.89 months in the PCN bunch (p = 0.059) (table 01). Conclusion: It is concluded that PCN is proved to be a suitable modality for drainage of pyonephrosis and ureteric obstruction especially due to malignant disease of pelvic origin which can otherwise be highly fatal.