7.5 mm stone in upper ureter with mild to moderate pcs dilation what is the best treatment please medical or eswl or others please help?

You need to consult: with a urologist, because best advice depends on a whole lot of other factors that need cosideration.

Kidney stone.: A stone that size is very unlikely to pass on its own. You’d be better served with lithotripsy or cystoscopy for retrieval.

Options: Low probability of passing this size stone, but no harm in a trial of observation/medical treatment (fluids and Flomax), asking as pain is well controlled, not vomiting, no fever or urinary infection. ESWL and ureteroscopic laser lithotripsy are equally effective for breaking up and eliminating this stone.