{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:18:52Z","timestamp":1790291932996,"version":"4.1.0"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T00:00:00Z","timestamp":1711065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T00:00:00Z","timestamp":1711065600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006692","name":"Universit\u00e0 degli Studi di Torino","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006692","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Urol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>To compare stent-related symptoms (SRS) in patients with double J (DJ) undergoing substitution with a pigtail suture stent (PSS) after ureteroscopy (URS), through the Ureteral Stent Symptom Questionnaire (USSQ).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>Patients with DJ undergoing URS for stone treatment were enrolled in this prospective multicenter longitudinal study. The USSQ was submitted thrice: 2\u00a0weeks after DJ, 2\u00a0weeks after PSS and 4\u00a0weeks after PSS removal (baseline). Primary endpoint: to compare Urinary Symptom Index Score and the rate of patients with pain 2\u00a0weeks after DJ and PSS. Secondary endpoints: to compare other USSQ scores and single answers 2\u00a0weeks after DJ and PSS, and DJ and PSS USSQ scores with baseline.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>93 patients were enrolled. 2\u00a0weeks Urinary Symptom Index Score (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and the percentage of patients complaining of pain (60.2% vs 88.2%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) were significantly in favour of PSS compared to DJ. 2\u00a0weeks scores were significantly improved with PSS compared to DJ: Pain Index (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), VAS (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), General Health Index (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and Work Performance Index (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). All urinary symptoms were significantly decreased with PSS, including renal pain during micturition and pain interfering with life. Pain Index Score (<jats:italic>p<\/jats:italic>\u2009=\u20090.622) and VAS (<jats:italic>p<\/jats:italic>\u2009=\u20090.169) were comparable to baseline with PSS, while differed with DJ.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Patients undergoing DJ substitution with PSS after URS report a significant decrease of SRS. Urologists may consider positioning PSS after URS in pre-stented patients to reduce the impact of SRS.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00345-024-04879-5","type":"journal-article","created":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T14:01:59Z","timestamp":1711116119000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Patients undergoing double J substitution with a pigtail suture stent report a significant decrease of stent-related symptoms. Results from a prospective multicenter longitudinal trial"],"prefix":"10.1007","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8511-897X","authenticated-orcid":false,"given":"Andrea","family":"Bosio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Ferretti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugenio","family":"Alessandria","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Vitiello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugenia","family":"Vercelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Campobasso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Micai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Gozzo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glauco","family":"Bertello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulio Gaetano","family":"Guarino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Alice","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Bisconti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Fop","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Gontero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,22]]},"reference":[{"issue":"11","key":"4879_CR1","doi-asserted-by":"publisher","first-page":"2501","DOI":"10.1007\/s00345-019-02660-7","volume":"37","author":"JF Pereira","year":"2019","unstructured":"Pereira JF, Bower P, Jung E, Parkhomenko E, Tran T, Thavaseelan S, Pareek G (2019) Ureteral stenting practices following routine ureteroscopy: an international survey. World J Urol 37(11):2501\u20132508","journal-title":"World J Urol"},{"issue":"3","key":"4879_CR2","doi-asserted-by":"publisher","first-page":"1060","DOI":"10.1097\/01.ju.0000049198.53424.1d","volume":"169","author":"HB Joshi","year":"2003","unstructured":"Joshi HB, Newns N, Stainthorpe A, MacDonagh RP, Keeley FX Jr, Timoney AG (2003) Ureteral stent symptom questionnaire: development and validation of a multidimensional quality of life measure. J Urol 169(3):1060\u20131064","journal-title":"J Urol"},{"issue":"1","key":"4879_CR3","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1007\/s00345-018-2376-6","volume":"37","author":"A Bosio","year":"2019","unstructured":"Bosio A, Alessandria E, Dalmasso E, Peretti D, Agosti S, Bisconti A, Destefanis P, Passera R, Gontero P (2019) How bothersome double-J ureteral stents are after semirigid and flexible ureteroscopy: a prospective single-institution observational study. World J Urol 37(1):201\u2013207","journal-title":"World J Urol"},{"key":"4879_CR4","first-page":"1","volume":"107","author":"A Pecoraro","year":"2021","unstructured":"Pecoraro A, Peretti D, Tian Z, Aimar R, Niculescu G, Alleva G, Piana A, Granato S, Sica M, Amparore D, Checcucci E, Manfredi M, Karakiewicz P, Fiori C, Porpiglia F (2021) Treatment of ureteral stent-related symptoms. Urol Int 107:1\u201316","journal-title":"Urol Int"},{"issue":"4","key":"4879_CR5","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1097\/MOU.0000000000001003","volume":"32","author":"M Mawhorter","year":"2022","unstructured":"Mawhorter M, Streeper NM (2022) Advances in ureteral stent technology. Curr Opin Urol 32(4):415\u2013419","journal-title":"Curr Opin Urol"},{"issue":"8","key":"4879_CR6","doi-asserted-by":"publisher","first-page":"1061","DOI":"10.1007\/s00345-014-1394-2","volume":"33","author":"B Vogt","year":"2015","unstructured":"Vogt B, Desgrippes A, Desfemmes FN (2015) Changing the double-pigtail stent by a new suture stent to improve patient\u2019s quality of life: a prospective study. World J Urol 33(8):1061\u20131068","journal-title":"World J Urol"},{"issue":"11","key":"4879_CR7","doi-asserted-by":"publisher","first-page":"1183","DOI":"10.1089\/lap.2020.0127","volume":"30","author":"Y Bostanci","year":"2020","unstructured":"Bostanci Y, Mercimek MN, Gulsen M, Ozden E, Yakupoglu YK, Sarikaya S (2020) Clinical effectiveness of single pigtail suture stent on patient comfort: a double-blind prospective randomized trial. J Laparoendosc Adv Surg Tech A 30(11):1183\u20131188","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"5","key":"4879_CR8","doi-asserted-by":"publisher","first-page":"596","DOI":"10.1111\/bju.15290","volume":"27","author":"P Betschart","year":"2020","unstructured":"Betschart P, Piller A, Zumstein V, Schmid HP, Engeler DS, G\u00fcsewell S, Pratsinis M, Abt D (2020) Reduction of stent-associated morbidity by minimizing stent material: a prospective, randomized, single-blind superiority trial assessing a customized \u2018suture stent.\u2019 BJU Int 27(5):596\u2013605","journal-title":"BJU Int"},{"key":"4879_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.euros.2021.03.011","volume":"29","author":"A Bosio","year":"2021","unstructured":"Bosio A, Alessandria E, Agosti S, Vitiello F, Vercelli E, Bisconti A, Piana P, Fop F, Gontero P (2021) Pigtail suture stents significantly reduce stent-related symptoms compared to conventional double j stents: a prospective randomized trial. Eur Urol Open Sci 29:1\u20139","journal-title":"Eur Urol Open Sci"},{"issue":"3","key":"4879_CR10","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1111\/bju.15540","volume":"129","author":"M Shah","year":"2022","unstructured":"Shah M, Pillai S, Chawla A, de la Rosette JJMCH, Laguna P, Jayadeva Reddy S, Taori R, Hegde P, Mummalaneni S (2022) A randomized trial investigating clinical outcomes and stent-related symptoms after placement of a complete intra-ureteric stent on a string versus conventional stent placement. BJU Int 129(3):373\u2013379","journal-title":"BJU Int"},{"issue":"20","key":"4879_CR11","doi-asserted-by":"publisher","first-page":"2191","DOI":"10.1001\/jama.2013.281053","volume":"310","author":"World Medical Association","year":"2013","unstructured":"World Medical Association (2013) World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 310(20):2191\u20132194","journal-title":"JAMA"},{"issue":"2","key":"4879_CR12","doi-asserted-by":"publisher","first-page":"624","DOI":"10.1016\/j.juro.2008.04.022","volume":"180","author":"G Giannarini","year":"2008","unstructured":"Giannarini G, Keeley FX Jr, Valent F, Milesi C, Mogorovich A, Manassero F, Barbone F, Joshi HB, Timoney AG, Selli C (2008) The Italian linguistic validation of the ureteral stent symptoms questionnaire. J Urol 180(2):624\u2013628","journal-title":"J Urol"},{"issue":"5","key":"4879_CR13","doi-asserted-by":"publisher","first-page":"1904","DOI":"10.1016\/j.juro.2011.06.066","volume":"186","author":"S Pengfei","year":"2011","unstructured":"Pengfei S, Yutao L, Jie Y, Wuran W, Yi D, Hao Z, Jia W (2011) The results of ureteral stenting after ureteroscopic lithotripsy for ureteral calculi: a systematic review and meta-analysis. J Urol 186(5):1904\u20131909","journal-title":"J Urol"},{"issue":"2","key":"4879_CR14","first-page":"CD012703","volume":"2","author":"M Ordonez","year":"2019","unstructured":"Ordonez M, Hwang EC, Borofsky M, Bakker CJ, Gandhi S, Dahm P (2019) Ureteral stent versus no ureteral stent for ureteroscopy in the management of renal and ureteral calculi. Cochrane Database Syst Rev 2(2):CD012703","journal-title":"Cochrane Database Syst Rev"},{"issue":"2","key":"4879_CR15","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1111\/bju.12482","volume":"113","author":"B Hughes","year":"2014","unstructured":"Hughes B, Wiseman OJ, Thompson T, Masood J, Smith RD, McIlhenny C, Irving S, Dasgupta R, Bultitude MF (2014) The dilemma of post-ureteroscopy stenting. BJU Int 113(2):184\u2013185","journal-title":"BJU Int"},{"issue":"4","key":"4879_CR16","first-page":"393","volume":"72","author":"A Pietropaolo","year":"2019","unstructured":"Pietropaolo A, Bres-Niewada E, Skolarikos A, Liatsikos E, Kallidonis P, Aboumarzouk O, Tailly T, Proietti S, Traxer O, Giusti G, Rukin N, \u00d6zsoy M, Talso M, Emre ST, Emiliani E, Atis G, Somani BK (2019) Worldwide survey of flexible ureteroscopy practice: a survey from European Association of Urology sections of young academic urologists and uro-technology groups. Central Eur J Urol 72(4):393\u2013397","journal-title":"Central Eur J Urol"},{"issue":"6","key":"4879_CR17","doi-asserted-by":"publisher","first-page":"763","DOI":"10.1007\/s00240-012-0500-4","volume":"40","author":"T Kawahara","year":"2012","unstructured":"Kawahara T, Ito H, Terao H, Ogawa T, Uemura H, Kubota Y, Matsuzaki J (2012) Changing to a loop-type ureteral stent decreases patients\u2019 stent-related symptoms. Urol Res 40(6):763\u2013767","journal-title":"Urol Res"},{"issue":"1","key":"4879_CR18","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1111\/bju.15395","volume":"129","author":"A Bosio","year":"2022","unstructured":"Bosio A, Alessandria E, Agosti SC, Vitiello F, Vercelli E, Bisconti A, Fop F, Gontero P (2022) Loop-tail stents fail in reducing stent-related symptoms: results of a prospective randomised controlled trial. BJU Int 129(1):123\u2013129","journal-title":"BJU Int"},{"issue":"20","key":"4879_CR19","first-page":"31421","volume":"S0090\u20134295","author":"SE Majdalany","year":"2020","unstructured":"Majdalany SE, Aldoukhi AH, Jung H, Mehra R, Roberts WW, Ghani KR (2020) In vivo evaluation of a novel pigtail suture stent. Urology S0090\u20134295(20):31421\u201331427","journal-title":"Urology"},{"key":"4879_CR20","doi-asserted-by":"publisher","first-page":"1204897","DOI":"10.1155\/2020\/1204897","volume":"2020","author":"B Vogt","year":"2020","unstructured":"Vogt B, Chokri I (2020) Histological Inflammation in human ureter either healthy or fitted with double-pigtail stent or a thin 0.3 F suture thread: a preliminary study. Adv Urol 2020:1204897","journal-title":"Adv Urol"},{"key":"4879_CR21","first-page":"529","volume":"13","author":"B Vogt","year":"2021","unstructured":"Vogt B, Chokri I (2021) Characterization of sonic Hedgehog\/Gli1 signal expression in human ureter either un-stented or fitted with double-pigtail stent or a thread. Res Rep Urol 13:529\u2013533","journal-title":"Res Rep Urol"},{"issue":"11","key":"4879_CR22","doi-asserted-by":"publisher","first-page":"1287","DOI":"10.1089\/end.2007.0038","volume":"21","author":"BK Auge","year":"2007","unstructured":"Auge BK, Sarvis JA, L\u2019esperance JO, Preminger GM (2007) Practice patterns of ureteral stenting after routine ureteroscopic stone surgery: a survey of practicing urologists. J Endourol 21(11):1287\u20131291","journal-title":"J Endourol"},{"issue":"2","key":"4879_CR23","doi-asserted-by":"publisher","first-page":"592","DOI":"10.1097\/01.ju.0000130510.28768.f5","volume":"172","author":"SY Chung","year":"2004","unstructured":"Chung SY, Stein RJ, Landsittel D, Davies BJ, Cuellar DC, Hrebinko RL, Tarin T, Averch TD (2004) 15-year experience with the management of extrinsic ureteral obstruction with indwelling ureteral stents. J Urol 172(2):592\u2013595","journal-title":"J Urol"},{"issue":"2","key":"4879_CR24","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1089\/end.2007.0201","volume":"22","author":"DL Wenzler","year":"2008","unstructured":"Wenzler DL, Kim SP, Rosevear HM, Faerber GJ, Roberts WW, Wolf JS Jr (2008) Success of ureteral stents for intrinsic ureteral obstruction. J Endourol 22(2):295\u2013299","journal-title":"J Endourol"},{"issue":"4","key":"4879_CR25","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1007\/s00240-009-0199-z","volume":"37","author":"Y Shao","year":"2009","unstructured":"Shao Y, Shen ZJ, Zhuo J, Liu HT, Yu SQ, Xia SJ (2009) The influence of ureteral stent on renal pelvic pressure in vivo. Urol Res 37(4):221\u2013225","journal-title":"Urol Res"},{"issue":"4","key":"4879_CR26","doi-asserted-by":"publisher","first-page":"766","DOI":"10.1016\/j.urology.2011.10.056","volume":"79","author":"WM Sameh","year":"2012","unstructured":"Sameh WM, Eid AA (2012) Pressure transmission through ureteric stents: a novel in vivo human study. Urology 79(4):766\u2013770","journal-title":"Urology"}],"container-title":["World Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-024-04879-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00345-024-04879-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-024-04879-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T21:24:20Z","timestamp":1735853060000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00345-024-04879-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,22]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4879"],"URL":"https:\/\/doi.org\/10.1007\/s00345-024-04879-5","relation":{},"ISSN":["1433-8726"],"issn-type":[{"value":"1433-8726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,22]]},"assertion":[{"value":"10 October 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 February 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 March 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}],"article-number":"186"}}