{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T16:12:13Z","timestamp":1784045533672,"version":"3.55.0"},"reference-count":24,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T00:00:00Z","timestamp":1759708800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T00:00:00Z","timestamp":1759708800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"abstract":"<jats:p>Aim: The aim of the study was to evaluate the safety and efficacy of same-day versus next-day urinary catheter removal following ureteroscopic holmium laser lithotripsy (with routine double-J stent placement) in a day-surgery setting. Methods: In this comparative study, 191 patients undergoing day-care holmium laser lithotripsy were allocated to next-day (n = 94) or same-day (n = 97) extubation groups. Outcomes included catheter retention duration, post-removal complications, voiding function, and recovery parameters. Results: No catheter-related adverse events occurred in either group. No significant differences were observed in first void volume, catheter reinsertion rates, post-catheter removal urination, lower abdominal distension, or urethral pain (p &gt; 0.05). The same-day group demonstrated significantly shorter catheter retention time (p &lt; 0.001) and earlier postoperative ambulation (p &lt; 0.001). Notably, time to spontaneous voiding was prolonged in the same-day group (p = 0.009), though all values remained within physiological ranges. Conclusion: Same-day catheter removal after ureteroscopic holmium laser lithotripsy, even with routine double-J stent placement, safely reduces indwelling time and promotes early mobilization without increasing the risk of urinary retention or exacerbating stent-related discomfort. 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