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Objectives: To assess the efficacy and safety of percutaneous cystolithalopexy in children under 5 years of age Study design: Retrospective study Place: Department of Paediatric Urology Institute of Kidney Diseases Hayat Abad Peshawar Methodology: Retrospective descriptive study was conducted in Institute of kidney diseases Peshawar between Jan 2020 and January 2022. After applying the inclusion and exclusion criteria all patients in the mentioned period were include in his study. Results were inferred as frequency and percentages. Results: Without observing any difference for age and gender 100% clearance was achieved in all patients with the most prominent complication being supra pubic catheter leakage which was treated conservatively. Conclusions: Percutaneous cystolithalopexy is safe and efficient for the management of bladder stone under 5 years Keywords: Bladder Calculi, Percutaneous Cystolithalopexy, Urolithiasis, Lithiasis

This research explores key determinants of customer loyalty in a research setting where customer loyalty is a dependent variable and service quality switching costs and switching cost and trust are all independent variables. The research uses a variety of statistical techniques, including reliability factor and regression analysis. As the country is moving fast towards digital financial inclusion. The telecommunication sector in Pakistan has also been impressively keeping up with paced. With the growing fame of digital telecommunications, the evaluation of customer loyalty and satisfaction has become essential for mobile network operators as well as for researchers at the same moment. To define, the variables influencing client satisfaction and loyalty, a comprehensive literature study was conducted. A conceptual research model was created based on a literature review to identify the link between service quality and customer satisfaction, in addition to price switching, customer loyalty and conviction. By using a self-administered questionnaire, the researchers gathered the perceptions of 300 prepaid phone subscribers form four carriers. The findings show that there is a significant direct connection between quality of service and customer satisfaction. Furthermore, the results of the study also demonstrate that customer loyalty is important predictors of quality of service, switching costs, and conviction. Trust is the most crucial determinants of customer loyalty among these three precedents in the context of service-oriented enterprises.