Hospital Ruber International provides specialised ESWL with a focus on accurate stone targeting, controlled shock wave delivery, and individualized urological care. Established in 1982, the ISO accredited hospital is located in Madrid, Spain and operates 345 beds, with modern urology, imaging, lithotripsy, and postoperative monitoring infrastructure.

ESWL can provide a non-invasive treatment option for appropriately selected kidney and ureteral stones. Treatment planning considers stone size, number, location, density, urinary tract anatomy, kidney function, and the presence of obstruction or infection. Detailed imaging helps the urologist determine whether ESWL is suitable and select the appropriate treatment approach. Temporary effects such as blood in the urine, discomfort, bruising, or passage of stone fragments may occur after treatment, while additional procedures may be required if the stone is not adequately fragmented or cleared.