Would you offer Break Wave Lithotripsy as a first-line option in a patient with a symptomatic ureteral or renal stone who is a candidate for ureteroscopy, given S.O.U.N.D. trial data showing noninferiority to ESWL without anesthesia?

This is a great question. I am not sure yet. I agree that the data regarding Break Wave Lithotripsy is very promising and exciting. However, I think more data is needed once Break Wave Lithotripsy is widely available for clinical use to better understand its potential role in symptomatic stone treat...

Current data suggest that Break Wave Lithotripsy is ideally indicated for moving small (1-3 mm) stone fragments out of the kidney. Current clinical results do not support BWL for primary stone management.