Aim: To study and analyse the clinical findings, pattern, various management and their outcome  of   bladder  calculus in patients visiting VMKVMC hospital. Methodology: In this retrospective study about Fifty patients with bladder calculus were selected and datas like urine examination, ultrasonogram (USG), X ray KUB were noted. The Management performed in those patients were open suprapubic cystolithotomy or transurethral cystolithotripsy or percutaneous cystolithotripsy. Patients’ symptoms, socio- economic status, composition of calculus and post- operative complications were recorded. Results: Out of 50 patients, 30 were male (64%) and 20 were female (36%). Management done was open suprapubic cystolithotomy in 8, transurethral cystolithotripsy in 28 and percutaneous cystolithotripsy in 14 patients. Composition of bladder stones was Caph. CaOx, uric acid in 24, CaOx, uric acid in 3, MAP CaOx uric acid in 16, MAP CaOx in 3, uric acid in 2 and CaOxAmm. Urate  in 2 patients. Conclusion: The study revealed that maximum males were affected and transurethral cystolithotripsy was the most common management performed.