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For referring physicians

Evidence-based, guideline-concordant, office-based shockwave lithotripsy with transparent patient-selection criteria. A straightforward referral pathway for your patients with stones.

Indications (per AUA 2026 guideline)

Shockwave lithotripsy is a guideline-endorsed option. The 2026 AUA guideline supports URS or SWL for distal ureteral stones ≤10 mm and for proximal ureteral stones <2 cm, with modality selection driven by stone and patient factors and shared decision-making.

Our selection criteria

Outcomes

For appropriately selected stones, published ESWL stone-free rates are commonly in the range of 75–85% (higher with a second session when needed), with serious complication rates near 1% in large series — and consistently lower complication and auxiliary-procedure rates than ureteroscopy. Our practice's outcomes are consistent with — and, through disciplined case selection, aim to meet or exceed — these published benchmarks. Formal practice-specific outcome data is available on request as our prospective series matures.

What we send back to you

How to refer

Call us at (212) 991-9991, or have your patient send their CT for a candidacy review. We make it easy to get a fast, honest read on whether a given stone is a good ESWL candidate — and we'll tell you when it isn't.

Refer a patient

Call us directly, or have your patient reach out for a candidacy review of their imaging.

Selected references

  1. Surgical Management of Kidney and Ureteral Stones: AUA Guideline (2026), Parts I–III. J Urol.
  2. Aboumarzouk OM, et al. ESWL versus ureteroscopic management for ureteric calculi (Cochrane review).
  3. Ouzaid I, et al. 970 HU threshold for ESWL patient selection. BJU Int. 2012.
  4. Joshi HB, et al. Ureteral Stent Symptom Questionnaire validation. J Urol. 2003.
  5. PUrE trial — cost-effectiveness, ESWL vs. FURS for lower-pole stones. 2025.
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