The clinicians prefer URS as a first-line line treatment of upper ureteric stones but with COVID-19 restrictions and considering the patient's benefit, ESWL sessions to remove ureteric stones were preferred as first-line treatment of upper ureteric stones. The aims of this study was to compare the level of stone clearance with EWSL sessions during COVID-19 pandemic as a first-line treatment. A longitudinal study was conducted at the Department of Urology, Liaquat University Hospital for the duration of 6 months. Total thirty patients of age more than 15 years who presented with an upper ureteric stone of 0. Patients were managed for upper ureteric stone with ESWL and complete stone clearance was considered a satisfactory outcome. The mean age of patients enrolled in the study was 31 10. 82 years with a preponderance of males that is 55%. The mean size of the stone observed was 1.10 0. Upon exposure to EWSL sessions, 68% of patients showed complete clearance of stones whereas 10% of patients had no clearance and 16% of patients showed partial clearance. The comparison of different variables among the level of stone clearance showed that complete removal of stone was carried out by a maximum of 4 EWSL sessions having a mean stone size of 1.09 0. 22 cm whereas maximum of 3 sessions were given to patients that resulted in incomplete stone clearance. In conclusion, the decision for carrying out EWSL sessions for ureteric stone clearance was successful in the majority of patients during a pandemic.