See answer: Some kidneys stones (e.g. calcium oxalate monohydrate) are quite dense and don't fragment well with lithotripsy (ESWL). If stone "stuck" in the ureter, ureteroscopy with laser lithotripsy +/- stent placement would usually be the next step with a high success rate. If the stone still in the kidney flexible ureteroscopy/laser lithotripsy still a reasonable option. Repeat ESWL less likely to succeed.
Answered 1/22/2021
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