{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T22:57:11Z","timestamp":1778799431191,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T00:00:00Z","timestamp":1607990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare a customized 'suture stent' with a standard ureteric stent regarding stent\u2010related symptoms, safety and efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Patients with urolithiasis located proximal to the iliac vessel crossing, requiring stenting in preparation for secondary ureterorenoscopy (URS) were randomized to standard ureteric stenting or a suture stent. Secondary ureterorenoscopy was performed 2\u20136\u00a0weeks later. The Ureteral Stent Symptoms Questionnaire (USSQ) was completed after 1\u00a0week, on the day before URS and 2\u20136\u00a0weeks after stent removal. Stent efficacy and safety were systematically assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 88 patients were included in the analysis. The median (range) suture stent length was 10 (5\u201325)\u00a0cm vs 26\u00a0cm for standard stents. Operation time was longer for insertion of the suture stent (24.0 vs 14.5\u00a0min;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). Patients with a suture stent had a significantly lower USSQ urinary symptoms score 1\u00a0week after stent insertion, adjusted for baseline symptoms by subtracting scores from the final visit without indwelling stent (mean 7.1 vs 13.7, difference \u22126.6, 95% confidence interval [CI] \u22123.4 to \u22129.8;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). Prior to secondary URS (after 2\u20136\u00a0weeks), baseline\u2010adjusted urinary symptoms (mean 4.7 vs 12.2, difference \u22127.5, 95% CI \u22124.5 to \u221210.4;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) and pain subscores (11.5 vs 17.6, difference \u22126.1, 95% CI \u22120.7 to \u221211.6;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.004) were significantly lower in the suture stent group. All other USSQ subscores showed no significant differences. Adverse events occurred in 15 patients and were similarly frequent in the two groups. No significant differences were found between the groups regarding ureteric access during secondary URS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Replacement of the distal part of ureteric stents by a suture can reduce stent\u2010associated symptoms without restrictions regarding secondary stone removal or safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15290","type":"journal-article","created":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T10:23:50Z","timestamp":1607077430000},"page":"596-605","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Reduction of stent\u2010associated morbidity by minimizing stent material: a prospective, randomized, single\u2010blind superiority trial assessing a customized \u2018suture stent\u2019"],"prefix":"10.1111","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8496-9470","authenticated-orcid":false,"given":"Patrick","family":"Betschart","sequence":"first","affiliation":[{"name":"Department of Urology Cantonal Hospital St. Gallen St. Gallen Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Piller","sequence":"additional","affiliation":[{"name":"Department of Urology Cantonal Hospital St. Gallen St. Gallen Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7881-9134","authenticated-orcid":false,"given":"Valentin","family":"Zumstein","sequence":"additional","affiliation":[{"name":"Department of Urology Cantonal Hospital St. Gallen St. Gallen Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans\u2010Peter","family":"Schmid","sequence":"additional","affiliation":[{"name":"Department of Urology Cantonal Hospital St. Gallen St. Gallen Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel S.","family":"Engeler","sequence":"additional","affiliation":[{"name":"Department of Urology Cantonal Hospital St. Gallen St. Gallen Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabine","family":"G\u00fcsewell","sequence":"additional","affiliation":[{"name":"Biostatistics Clinical Trials Unit Cantonal Hospital St. Gallen St. Gallen Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manolis","family":"Pratsinis","sequence":"additional","affiliation":[{"name":"Department of Urology Cantonal Hospital St. Gallen St. Gallen Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1915-4726","authenticated-orcid":false,"given":"Dominik","family":"Abt","sequence":"additional","affiliation":[{"name":"Department of Urology Cantonal Hospital St. Gallen St. Gallen Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2015.0109"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00240-002-0258-1"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(01)01644-2"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.13311"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.02.019"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00240-012-0500-4"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-014-1394-2"},{"key":"e_1_2_8_9_1","unstructured":"World Medical Association.Declaration of Helsinki \u2010 ethical principles for medical research involving human subjects.1964. 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