{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T05:13:45Z","timestamp":1790745225070,"version":"4.1.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Urol"],"DOI":"10.1007\/s00345-026-06737-y","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T13:59:36Z","timestamp":1788271176000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Tolerability of 4.7Fr versus 6Fr ureteral stents following intracorporeal lithotripsy: a single center, patient- and assessor-blinded randomized controlled trial"],"prefix":"10.1007","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0184-2962","authenticated-orcid":false,"given":"Philip Tojo","family":"Kalloopparamban","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. Balagopal","family":"Nair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Nath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. K.","family":"Tharun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"John","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"6737_CR1","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1016\/j.euf.2017.04.001","volume":"3","author":"OA Raheem","year":"2017","unstructured":"Raheem OA, Khandwala YS, Sur RL, Ghani KR, Denstedt JD (2017) Burden of urolithiasis: trends in prevalence, treatments, and costs. Eur Urol Focus 3:18\u201326. https:\/\/doi.org\/10.1016\/j.euf.2017.04.001","journal-title":"Eur Urol Focus"},{"key":"6737_CR2","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1097\/JU.0000000000004844","volume":"215","author":"MS Pearle","year":"2026","unstructured":"Pearle MS, Matlaga BR, Antonelli JA, Chi T, Hsi RS, Kim SK, Kirkby E, Knudsen B, Koo K, Maalouf NM, Pais VM, Paris A, Penniston KL, Scotland KB, Souter LH, Streeper N, Tasian G, Wood KD, Ziemba JB (2026) Surgical management of kidney and ureteral stones: AUA guideline (2026). Part III: treatment of patients with kidney and\/or ureteral stones and future directions. J Urol 215:132\u2013141. https:\/\/doi.org\/10.1097\/JU.0000000000004844","journal-title":"J Urol"},{"key":"6737_CR3","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012703.pub2","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. https:\/\/doi.org\/10.1002\/14651858.CD012703.pub2","journal-title":"Cochrane Database Syst Rev"},{"key":"6737_CR4","doi-asserted-by":"publisher","first-page":"992","DOI":"10.1111\/iju.14631","volume":"28","author":"G Wu","year":"2021","unstructured":"Wu G, Sun F, Sun K, Zhang D, Yao H, Wu J, Cui Y (2021) Impact of differential ureteral stent diameters on clinical outcomes after ureteroscopy intracorporeal lithotripsy: a systematic review and meta-analysis. Int J Urol 28:992\u2013999. https:\/\/doi.org\/10.1111\/iju.14631","journal-title":"Int J Urol"},{"key":"6737_CR5","doi-asserted-by":"publisher","DOI":"10.3390\/app10124291","author":"HH Kim","year":"2020","unstructured":"Kim HH, Kim K, Choi YH, Lee SB, Baba Y (2020) Numerical analysis of urine flow with multiple sizes of Double-J stents. Appl Sci. https:\/\/doi.org\/10.3390\/app10124291","journal-title":"Appl Sci"},{"key":"6737_CR6","doi-asserted-by":"publisher","first-page":"2373","DOI":"10.1007\/s11517-022-02620-1","volume":"60","author":"X Yang","year":"2022","unstructured":"Yang X, Mosayyebi A, Carugo D (2022) Computational simulation of the flow dynamic field in a porous ureteric stent. Med Biol Eng Comput 60:2373\u20132387. https:\/\/doi.org\/10.1007\/s11517-022-02620-1","journal-title":"Med Biol Eng Comput"},{"key":"6737_CR7","unstructured":"Urbaniak GC, Plous S (2022) Research randomizer (Version 4). http:\/\/www.randomizer.org\/. Accessed 1 June 2022"},{"key":"6737_CR8","doi-asserted-by":"publisher","first-page":"1549","DOI":"10.1016\/S0022-5347(17)36966-5","volume":"148","author":"MJ Barry","year":"1992","unstructured":"Barry MJ, Fowler FJ, O\u2019Leary MP, Bruskewitz RC, Holtgrewe HL, Mebust WK, Cockett ATK, The Measurement Committee of the American Urological Association (1992) The American Urological Association symptom index for benign prostatic hyperplasia. J Urol 148:1549\u20131557. https:\/\/doi.org\/10.1016\/S0022-5347(17)36966-5","journal-title":"J Urol"},{"key":"6737_CR9","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1007\/BF00460310","volume":"5","author":"DA Rivas","year":"1994","unstructured":"Rivas DA, Chancellor MB (1994) Utility of the American Urological Association symptom index in the diagnosis of women with voiding dysfunction. Int Urogynecol J 5:202\u2013207. https:\/\/doi.org\/10.1007\/BF00460310","journal-title":"Int Urogynecol J"},{"key":"6737_CR10","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, Timoney AG (2003) Ureteral stent symptom questionnaire: development and validation of a multidimensional quality of life measure. J Urol 169:1060\u20131064. https:\/\/doi.org\/10.1097\/01.ju.0000049198.53424.1d","journal-title":"J Urol"},{"key":"6737_CR11","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","volume":"240","author":"D Dindo","year":"2004","unstructured":"Dindo D, Demartines N, Clavien P-A (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205. https:\/\/doi.org\/10.1097\/01.sla.0000133083.54934.ae","journal-title":"Ann Surg"},{"key":"6737_CR12","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1089\/end.2023.0378","volume":"38","author":"S Butori","year":"2024","unstructured":"Butori S, Bonanno N, Rico L, Contreras PN, Pagano EM, Blas L (2024) Stent syndrome: does the diameter matter? results of a randomized trial. J Endourol 38:193\u2013197. https:\/\/doi.org\/10.1089\/end.2023.0378","journal-title":"J Endourol"},{"key":"6737_CR13","unstructured":"Dean A, Sullivan K, Soe M (2013) OpenEpi: Open Source Epidemiologic Statistics for Public Health. http:\/\/openepi.com. Accessed 10 July 2022"},{"key":"6737_CR14","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1089\/end.1997.11.45","volume":"11","author":"JV Candela","year":"1997","unstructured":"Candela JV, Bellman GC (1997) Ureteral stents: impact of diameter and composition on patient symptoms. J Endourol 11:45\u201347. https:\/\/doi.org\/10.1089\/end.1997.11.45","journal-title":"J Endourol"},{"key":"6737_CR15","doi-asserted-by":"publisher","first-page":"673","DOI":"10.1016\/j.eururo.2005.06.006","volume":"48","author":"R Damiano","year":"2005","unstructured":"Damiano R, Autorino R, De Sio M, Cantiello F, Quarto G, Perdon\u00e0 S, Sacco R, D\u2019Armiento M (2005) Does the size of ureteral stent impact urinary symptoms and quality of life? a prospective randomized study. Eur Urol 48:673\u2013678. https:\/\/doi.org\/10.1016\/j.eururo.2005.06.006","journal-title":"Eur Urol"},{"key":"6737_CR16","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1089\/08927790360587342","volume":"17","author":"E Erturk","year":"2003","unstructured":"Erturk E, Sessions A, Joseph JV (2003) Impact of ureteral stent diameter on symptoms and tolerability. J Endourol 17:59\u201362. https:\/\/doi.org\/10.1089\/08927790360587342","journal-title":"J Endourol"},{"key":"6737_CR17","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1016\/j.kjms.2018.07.001","volume":"34","author":"A Cubuk","year":"2018","unstructured":"Cubuk A, Yanaral F, Ozgor F, Savun M, Ozdemir H, Erbin A, Yuksel B, Sarilar O (2018) Comparison of 4.8 Fr and 6 Fr ureteral stents on stent related symptoms following ureterorenoscopy: a prospective randomized controlled trial. Kaohsiung J Med Sci 34:695\u2013699. https:\/\/doi.org\/10.1016\/j.kjms.2018.07.001","journal-title":"Kaohsiung J Med Sci"},{"key":"6737_CR18","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1089\/end.2019.0482","volume":"34","author":"BS Kim","year":"2020","unstructured":"Kim BS, Choi JY, Jung W (2020) Does a ureteral stent with a smaller diameter reduce stent-related bladder irritation? A single-blind, randomized, controlled, multicenter study. J Endourol 34:368\u2013372. https:\/\/doi.org\/10.1089\/end.2019.0482","journal-title":"J Endourol"},{"key":"6737_CR19","doi-asserted-by":"publisher","first-page":"1059","DOI":"10.1007\/s00345-019-02829-0","volume":"38","author":"S Nestler","year":"2020","unstructured":"Nestler S, Witte B, Schilchegger L, Jones J (2020) Size does matter: ureteral stents with a smaller diameter show advantages regarding urinary symptoms, pain levels and general health. World J Urol 38:1059\u20131063. https:\/\/doi.org\/10.1007\/s00345-019-02829-0","journal-title":"World J Urol"},{"key":"6737_CR20","doi-asserted-by":"publisher","first-page":"30","DOI":"10.5152\/tud.2022.21255","volume":"48","author":"AANO Diatmika","year":"2022","unstructured":"Diatmika AANO, Djojodimedjo T, Kloping YP, Hidayatullah F, Soebadi MA (2022) Comparison of ureteral stent diameters on ureteral stent-related symptoms: a systematic review and meta-analysis. Urol Res Pract 48:30\u201340. https:\/\/doi.org\/10.5152\/tud.2022.21255","journal-title":"Urol Res Pract"}],"container-title":["World Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-026-06737-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00345-026-06737-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-026-06737-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T13:59:37Z","timestamp":1788271177000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00345-026-06737-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":20,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6737"],"URL":"https:\/\/doi.org\/10.1007\/s00345-026-06737-y","relation":{},"ISSN":["1433-8726"],"issn-type":[{"value":"1433-8726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]},"assertion":[{"value":"9 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no conflict of interest.","order":1,"name":"Ethics","label":"Conflicts of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The protocol for this research project has been approved by a suitably constituted Ethics Committee of the institution and it conforms to the provisions of the Declaration of Helsinki. Rajagiri Hospital Institutional Ethics Committee Approval No. RAJH\/2022\/038.","order":2,"name":"Ethics","label":"Ethical consideration","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Informed consent was obtained from all participants.","order":3,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"630"}}