Extracorporeal Shock Wave Lithotripsy (ESWL)
Treatment for Kidney Stones
Effectiveness
70%
Safety Score
60%
Clinical Trials
43
Participants
30K
Comparative Safety Scale(Higher is safer)
Cyanide☠️
Meth💀
Cigarettes🚬
Chemo☢️
Alcohol🍺
Morphine💊
Antibiotics💉
Tylenol💊
Exercise🏃
Water💧
60
DangerousModerateSafe
Treatment Details
Time to Effect
Immediate stone fragmentation, clearance can take weeks
Treatment Duration
Single session
Evidence Quality
MODERATEConfidence Score
80%confidence in effectiveness data
Health Economics
Annual Cost of Care
Drug Cost:$0
Monitoring:$1,000
Side Effect Mgmt:$500
Total Annual:$5,000
Cost-Effectiveness Analysis
Cost-Effectiveness Rating
GOODICER
$70,000/QALY
QALYs Gained
0.4
Outcome-Based Costs
Cost per Responder
$7,143
Cost per Remission
$9,091
Comparison vs Ureteroscopy
Cost Difference
$-2,000/year
Less expensive
QALY Difference
0.00 QALYs
Same outcomes
Dominance
No dominance
Extracorporeal Shock Wave Lithotripsy (ESWL) Outcomes
for Kidney Stones
Efficacy Outcomes
Overall Effectiveness
+70%
Response Rate
+70%
Remission Rate
+55%
Common Side Effects
Pain/Discomfort
+30%
Hematuria (blood in urine)
+25%
Stone fragments requiring repeat procedure/intervention
+20%
Skin bruising
+15%
Active Clinical Trials
8 active trials recruiting for Extracorporeal Shock Wave Lithotripsy (ESWL) in Kidney Stones
Early vs Delayed Extracorporeal Shock Wave Lithotripsy for Residual Stones After Percutaneous Nephrolithotomy
NCT07523074RECRUITINGNA
476 participants
INTERVENTIONAL
Banī Suwayf, Egypt
Started: Dec 2, 2025
Flexible Ureteroscopy Versus Extracorporeal Shock Wave Lithotripsy
NCT07193940NOT YET RECRUITINGNA
70 participants
INTERVENTIONAL
Asyut, Egypt
Started: Oct 1, 2025
Short Interval Versus Long Interval Repeated Extracorporeal Shockwave Lithotripsy (ESWL) for 8-15 mm Renal Stones.
NCT07421843ENROLLING BY INVITATIONNA
600 participants
INTERVENTIONAL
Helsingborg, Sweden +1 more
Started: Oct 4, 2022
Comparison of Extracorporeal Shock Wave Lithotripsy Versus Retrograde Intrarenal Surgery in the Management of Renal Calculi
NCT07261995RECRUITINGNA
98 participants
INTERVENTIONAL
Karachi, Pakistan
Started: Sep 5, 2025
Energy Ramping Versus Fixed Dose ESWL
NCT07334236NOT YET RECRUITINGNA
100 participants
INTERVENTIONAL
Sohag, Egypt
Started: Jan 3, 2026
Pain Control During ESWL Using Non-Opioid Analgesics
NCT07512297NOT YET RECRUITINGPHASE4
160 participants
INTERVENTIONAL
Gaziantep, Turkey (Türkiye)
Started: Oct 1, 2026
PMCF Investigation of MODULITH® SLX-F2 With StorM-Track in Patients With Kidney Stones
NCT07272720RECRUITINGNA
126 participants
INTERVENTIONAL
Stockholm, Sweden
Started: Dec 11, 2025
Role of Urine PH in Shock Wave Lithotripsy Outcomes in Renal Stone Disease
NCT07711028ACTIVE NOT RECRUITINGNA
146 participants
INTERVENTIONAL
Banhā, Egypt
Started: Jan 20, 2026
Completed Clinical Trials
10 completed trials for Extracorporeal Shock Wave Lithotripsy (ESWL) in Kidney Stones
Comparison of Extracorporeal Shock Wave Lithotripsy (ESWL) and Ultra-mini Percutaneous Nephrolithotomy (PCNI), in Renal Stones <20 mm.
NCT07610252COMPLETEDNA
138 participants
INTERVENTIONAL
Bahawalpur, Pakistan
Started: Jul 1, 2025
Adjunct Inversion for Lower Pole Stone
NCT01852669COMPLETEDNA
140 participants
INTERVENTIONAL
Started: Jan 1, 2002
Acoustic Impedance Matching in ESWL Coupling
NCT07585435COMPLETEDNA
294 participants
INTERVENTIONAL
Konya, Turkey (Türkiye)
Started: Jul 1, 2023
Efficacy of Different Modalities on Management of Renal Hard Stones
NCT07445646COMPLETEDNA
300 participants
INTERVENTIONAL
Zagazig, Egypt
Started: Feb 1, 2021
Management of Lower Pole Renal Hard Stones ≤2 cm
NCT06120257COMPLETEDNA
414 participants
INTERVENTIONAL
Kafr ash Shaykh, Egypt
Started: Mar 1, 2022
Stone Clearance in Patients With Upper Ureteric Stones Using Extracorporeal Shock Wave Lithotripsy Compared With Extracorporeal Shock Wave Lithotripsy Combined With Tamsulosin Therapy
NCT05725122COMPLETEDNA
82 participants
INTERVENTIONAL
Lahore, Pakistan
Started: Feb 1, 2018
Tamsulosin as Adjunctive Therapy After Extracorporeal Shock Wave Lithotripsy for Renal Stones
NCT04819828COMPLETEDPHASE4
60 participants
INTERVENTIONAL
Started: Jan 1, 2010
Music During ESWL for Half Treatment
NCT04338451COMPLETEDNA
70 participants
INTERVENTIONAL
Turin, Italy
Started: Feb 2, 2017
RIRS Versus ESWL for the Treatment of Renal Stones
NCT02645058COMPLETEDNA
150 participants
INTERVENTIONAL
Turin, Italy
Started: Mar 2, 2015
Music During ESWL for Entire Treatment
NCT04380675COMPLETEDNA
150 participants
INTERVENTIONAL
Turin, Italy
Started: Nov 2, 2017
Showing 20 of 57 total trials