No incision. No scope inside the urinary tract.
Focused shockwaves reach the stone from outside your body. Fragments then pass in the urine.
Dr. David Shusterman, MD. More than 15 years of office-based lithotripsy experience in New York City. Dornier technology and individualized in-office anesthesia.
Treatment can often be arranged with one week’s notice. Timing depends on your evaluation, imaging, preparation and appointment availability. Urgent symptoms need urgent assessment.
Focused shockwaves reach the stone from outside your body. Fragments then pass in the urine.
For our office ESWL protocol, you can remain in your own clothes; the team adjusts clothing at the treatment area as needed for skin contact and imaging. Preparation depends on your care plan.
Dr. Shusterman describes stents as uncommon in his selected office ESWL patients. This is practice experience, not a measured percentage or a promise. A stent may still be needed for blockage, infection or difficulty passing fragments.
Your appointment includes imaging review, treatment and recovery. If your plan uses sedation, follow fasting instructions, arrange an escort and do not drive afterward. The team confirms timing before your visit.

Dr. Shusterman leads NY Litho with a focus on getting kidney stone patients out of pain quickly and treating their stones with the least-invasive appropriate option. Patients come from across all five boroughs — Manhattan, Queens, Brooklyn, the Bronx, and Staten Island — as well as Long Island and New Jersey.
Call before coming in. Our team will confirm your appointment location, available services and preparation.

800 Second Avenue, 9th Floor
New York, NY 10017
69-15 Yellowstone Blvd, Suite 1
Forest Hills, NY 11375
Bring your imaging, reports and questions
Open the follow-up visit checklist
Many stones clear in a single session, but a larger or denser stone may need a second (occasionally a third) treatment. Because there's no incision, repeating it is straightforward. We'll give you an honest estimate up front based on your stone's size and density.
Bring your imaging and hospital records. We review your stone’s size, location and density, your symptoms and your health, then recommend a plan. ESWL suitability and timing are individual.
After sedation, do not drive. Our team can help arrange a rideshare home once the anesthesia team clears you for discharge. Confirm the required escort, home supervision and arrival assistance in advance, including help reaching your building. Follow your personal discharge instructions about recovery and returning to work.
Shockwave lithotripsy for kidney stones is a standard, widely covered urologic treatment. Coverage specifics depend on your plan; our office can help you understand what to expect before treatment.

From the specialist’s bookshelf
Explore a practical, illustrated introduction to the ideas in Dr. Shusterman’s kidney stone book, with 15 deeper guides you can read before and after your visit.
Explore all 15 guides →Use the secure online appointment request or call the office. An appointment is not confirmed until our team contacts you.
If you develop fever, chills, cannot urinate, or cannot keep fluids down, go to the nearest ER or call 911.
Fever or chills with stone symptoms, inability to urinate, uncontrolled pain or persistent vomiting need urgent medical assessment. If you have one functioning kidney or are pregnant and suspect a stone, seek prompt assessment rather than waiting for a routine appointment. The clinician determines the appropriate setting for your care.
Dr. Shusterman was great. Took time to explain cause of my condition and treatment options. Office was neat and organized.
Listened to me and my reason for visit. Thoroughly explained options and tests that were given.
They have the equipment to test your stuff in the office. It was pretty fast. Recommended.
Fast, efficient, accurate! What more can I say. They put all my fears to rest and were completely transparent. Love this pace
Selected coverage of David Shusterman, MD
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