Can distal ureteral stones be treated with extracorporeal shock wave lithotripsy?

Most distal ureteral stones can be treated with extracorporeal shock wave lithotripsy (ESWL). 1. When the stone is of moderate size and has not been lodged in the distal ureter for a prolonged period, extracorporeal shock wave lithotripsy is an effective treatment option. This method uses a lithotripter to generate shock waves from outside the body to break the stone into smaller fragments that can then pass out with urine. 2. Most distal ureteral stones can be successfully managed with ESWL. However, if the stone has remained in the distal ureter for an extended time, it may cause ureteral edema or stricture. In such cases, even after ESWL, complete stone passage cannot be guaranteed. 3. When opting for ESWL, it is recommended to consult an experienced physician, maintain adequate fluid intake, and choose an appropriate timing for treatment. Close monitoring is necessary after lithotripsy, as some patients may require multiple sessions or alternative treatments.