What do systematic reviews say?

Shock wave lithotripsy vs ureteroscopy with holmium laser or pneumatic lithotripsy

It is very uncertain whether shock wave lithotripsy changes serious adverse events or complications of treatment compared with ureteroscopy with holmium laser or pneumatic lithotripsy (very low certainty).

• Medical and surgical interventions for the treatment of urinary stones in children 2019 · Cochrane Headline outcomes only
  RR 0.56 [0.12, 2.58]
  3 studies · 153 participants
  Very low

Shock wave lithotripsy vs mini‐percutaneous nephrolithotripsy

Shock wave lithotripsy may leads to lower serious adverse events or complications of treatment compared with mini‐percutaneous nephrolithotripsy (low certainty).

• Medical and surgical interventions for the treatment of urinary stones in children 2019 · Cochrane Headline outcomes only
  RR 0.13 [0.02, 0.98]
  1 study · 212 participants
  Low

Shock wave lithotripsy vs dissolution therapy

It is very uncertain whether shock wave lithotripsy changes serious adverse events or complications of treatment compared with dissolution therapy (very low certainty).

• Medical and surgical interventions for the treatment of urinary stones in children 2019 · Cochrane Headline outcomes only
  RR 1.23 [0.08, 19.05]
  1 study · 87 participants
  Very low

Slow shock wave lithotripsy vs rapid shock wave lithotripsy

• Medical and surgical interventions for the treatment of urinary stones in children 2019 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 60 participants
  Very low