Introduction: Urological treatment of urinary calculi has changed much in the past 20 years (1). Endoscopic intra Ureteral lithotripsy has developed as the result of advances in techniques for uretroscopy and lithotripsy Aim of the study to determine the utility and the efficacy of pneumatic lithoclast in the treatment of uretric stone as early experience in AL- HillA city. Method: cross sectional study of one hundred patients with uretric stone with size ranged from (0.5-1.5 cm) and different level (upper, middle, lower Ureter 15, 20, 65 respectively) treated with uretroscopy and pneumatic lithoclast under general and spinal anesthesia. Result: About 90 patients have cleared from uretric stone within 2 weeks. The other 10patient’s not responding because Upward migration (6 patients), Ureteral perforation (4 patients). 50 patient’s need’s double j stenting at the end of the procedure because large number of fragments’ and due to hematuria. The other 50 patients not need double j stenting because small stone and easy to pass spontaneous. Conclusion: By conclusion early intervention is advisable .mid or upper ureteric stone also can deal with.