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NYLithoFast In Office Treatment
Office-based kidney stone care 19+ years' experience

Kidney Stone Treatmentin New York City

We accept all insurance, including Medicaid and Medicare.Modern care. Inclusive access.

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.

A simpler treatment day, when ESWL is right for you.

No incision. No scope inside the urinary tract.

Focused shockwaves reach the stone from outside your body. Fragments then pass in the urine.

Stay in your own clothes.

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.

A stent is rarely needed in our selected ESWL patients.

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.

Fast visit. Individual preparation.

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.

Office ESWL
David Shusterman, MD, urologist and founder of NY Litho
Meet the physician

David Shusterman, MD

Board-certified Urologist · 19+ years' experience

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.

Plan your visit

Call before coming in. Our team will confirm your appointment location, available services and preparation.

Real building entrance. Our office is on the ninth floor.
Building entrance at 800 Second Avenue in Manhattan.

Bring your imaging, reports and questions
Open the follow-up visit checklist

Before your visit

How many sessions will I need?

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.

What if it doesn't work the first time?

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.

Can I drive home? Go to work the next day?

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.

Is it covered by insurance?

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.

Read all frequently asked questions

Stones Unlocked — David Shusterman, MD

From the specialist’s bookshelf

Stones Unlocked

Understand your stone. Prepare for ESWL. Build your prevention plan.

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 →

Request an appointment

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.

    Verified patient · Zocdoc · 2022 · Patient of Dr. David Shusterman
  • Listened to me and my reason for visit. Thoroughly explained options and tests that were given.

    Alex M. · Verified patient · Zocdoc · 2026 · Patient of Dr. David Shusterman
  • They have the equipment to test your stuff in the office. It was pretty fast. Recommended.

    Arthur S. · Verified patient · Zocdoc · 2022 · Patient of Dr. David Shusterman
  • Fast, efficient, accurate! What more can I say. They put all my fears to rest and were completely transparent. Love this pace

    Terrin L. · Verified patient · Zocdoc · 2021 · Patient of Dr. David Shusterman

Selected coverage of David Shusterman, MD

Interviews and expert commentary. Media appearances do not imply endorsement of this website, its services, books, or products.

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