{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T08:15:11Z","timestamp":1778660111884,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the effects of percutaneous nephrostomy (PCN) and JJ ureteric stent (JJ) for urinary tract decompression in patients with obstructive urolithiasis on health\u2010related quality of life (HRQoL), pain scores, urinary symptoms, and patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>In 11 hospitals, 204 patients with obstructive urolithiasis were randomised to JJ or PCN placement. Patient\u2010reported outcome measures (PROMs) were assessed until stone passage, surgical removal, or at 3\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both PCN and JJ effectively improved HRQoL index scores (PCN: pre\u2010decompression 0.70, 1\u2009day post\u2010decompression 0.82,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.003; JJ: pre 0.59, post 0.85,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), pain scores (PCN: pre 4.9, post 1.3,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001; JJ: pre 5.5, post 1.3,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), and achieved patient satisfaction (score at discharge PCN: 7.9; JJ: 8.2), with no significant differences between interventions in overall HRQoL (generalised estimating equation [GEE]\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.7) or mean daily pain scores (GEE\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.4). PCN led to more self\u2010care difficulties (patients reporting no problems: PCN 74%, JJ 91%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.023), while JJ recipients reported more urinary symptoms and higher peak pain intensity (pain score PCN: 2.3, JJ: 3.7, between groups\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.018). Despite symptoms, more JJ recipients preferred the same intervention in future (60%), than PCN recipients (31%) (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Survey\u2010based data collection may introduce response bias (response rate 59%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In patients with obstructive urolithiasis, urinary decompression with PCN and JJ improved HRQoL and pain comparably. JJ causes more urinary symptoms and peak pain but allows better self\u2010care. Baseline self\u2010care and urinary symptoms should guide shared decision\u2010making. Drainage duration should be minimised.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.70249","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T14:50:29Z","timestamp":1773845429000},"page":"1088-1096","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient\u2010reported outcome measures of percutaneous nephrostomy vs\n                    <scp>JJ<\/scp>\n                    stent in obstructive urolithiasis: results of the STent Or NEphrostomy (STONE) randomised controlled trial"],"prefix":"10.1111","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3494-9268","authenticated-orcid":false,"given":"Hugo W.","family":"Schuil","sequence":"first","affiliation":[{"name":"Department of Urology Alrijne Ziekenhuis  Leiderdorp The Netherlands"},{"name":"Department of Urology, Amsterdam UMC University of Amsterdam  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4605-6283","authenticated-orcid":false,"given":"Nora","family":"Hendriks","sequence":"additional","affiliation":[{"name":"Department of Urology Alrijne Ziekenhuis  Leiderdorp The Netherlands"},{"name":"Department of Urology, Amsterdam UMC University of Amsterdam  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruben G.","family":"Duijnhoven","sequence":"additional","affiliation":[{"name":"Clinical Trials Unit, Healthcare Evaluation and Research, Amsterdam UMC University of Amsterdam  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bart C. H.","family":"Oskam","sequence":"additional","affiliation":[{"name":"Department of Urology Meander Medisch Centrum  Amersfoort The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom J. H.","family":"Arends","sequence":"additional","affiliation":[{"name":"Department of Urology Meander Medisch Centrum  Amersfoort The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diederick","family":"Duijvesz","sequence":"additional","affiliation":[{"name":"Department of Urology Canisius Wilhelmina Ziekenhuis  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander D.","family":"Horsch","sequence":"additional","affiliation":[{"name":"Department of Radiology Alrijne Ziekenhuis  Leiderdorp The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bart","family":"van der Heij","sequence":"additional","affiliation":[{"name":"Department of Urology Zuyderland Medisch Centrum  Heerlen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene M.","family":"Tjiam","sequence":"additional","affiliation":[{"name":"Department of Urology Haga Ziekenhuis  The Hague The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans","family":"van Overhagen","sequence":"additional","affiliation":[{"name":"Department of Radiology Haga Ziekenhuis  The Hague The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armand B. G. N.","family":"Lamers","sequence":"additional","affiliation":[{"name":"Department of Radiology Amsterdam UMC  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Otto M.","family":"van Delden","sequence":"additional","affiliation":[{"name":"Department of Radiology Amsterdam UMC  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wout A.","family":"Scheepens","sequence":"additional","affiliation":[{"name":"Department of Urology Catharina Ziekenhuis  Eindhoven The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie M. A.","family":"Drossaerts","sequence":"additional","affiliation":[{"name":"Department of Urology Catharina Ziekenhuis  Eindhoven The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank C. H.","family":"d'Ancona","sequence":"additional","affiliation":[{"name":"Department of Urology Radboud University Medical Center  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Boering","sequence":"additional","affiliation":[{"name":"Department of Urology Radboud University Medical Center  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0589-3229","authenticated-orcid":false,"given":"Janneke I. M.","family":"van Uhm","sequence":"additional","affiliation":[{"name":"Department of Urology Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rutger W.","family":"van der Meer","sequence":"additional","affiliation":[{"name":"Department of Radiology Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Herman","family":"van Roijen","sequence":"additional","affiliation":[{"name":"Department of Urology Elisabeth\u2010TweeSteden Ziekenhuis  Tilburg The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"de Kiefte","sequence":"additional","affiliation":[{"name":"Department of Radiology Elisabeth\u2010TweeSteden Ziekenhuis  Tilburg The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ad J.M.","family":"Hendrikx","sequence":"additional","affiliation":[{"name":"Department of Urology Catharina Ziekenhuis  Eindhoven The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6587-2251","authenticated-orcid":false,"given":"Saskia","family":"Weltings","sequence":"additional","affiliation":[{"name":"Department of Urology Zaans Medisch Centrum  Zaandam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rob C. 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