{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T04:10:58Z","timestamp":1788667858186,"version":"build-2803163510"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to quantify the prevalence and severity of indwelling double-J (DJ) ureteral stent-related symptoms, characterize pain perception, and evaluate patient satisfaction among adult patients in a resource-limited healthcare system, while identifying demographic and clinical factors associated with symptom burden and satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted between April and December 2025 at two major urology centers. Patients who underwent DJ ureteral stenting for ureteral obstruction, predominantly due to urinary tract stones, were consecutively recruited. Data were collected using a structured, seven-part questionnaire assessing urinary symptoms, pain characteristics, quality of life, and satisfaction, supplemented by clinical information from electronic medical records. Pain intensity was measured using a visual analogue scale (VAS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 200 patients analyzed, stent-related symptoms were highly prevalent. The median stent indwelling duration was 30.0\u2009days [IQR: 19.0\u201341.0]. Flank or abdominal pain was reported by 176 patients (88%), with a median severity of 6.0 on the VAS. Other frequent complaints included fatigue (74%), sleep disturbance (71.5%), urinary frequency (70.5%), dysuria (69%), hematuria (58%), and sensation of a foreign body (65.5%). Despite this substantial symptom burden, overall satisfaction was relatively high: 124 patients (62%) reported being satisfied or very satisfied, and 134 (67%) expressed willingness to undergo stenting again if medically indicated. Longer stent indwelling time was independently associated with increased flank pain (OR 1.05\/day, 95% CI 1.01\u20131.09,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.007) and satisfaction was negatively associated with comorbidities (\u03b2\u2009=\u2009\u20130.17,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.027).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>DJ ureteral stents cause significant pain, urinary symptoms, and quality-of-life impairment among Palestinian patients, yet overall satisfaction remains high, reflecting recognition of their clinical necessity. These findings highlight the need for better counseling, tailored symptom management, and structured follow-up to strengthen patient-centered care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03915603261481561","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T07:55:25Z","timestamp":1788508525000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient-centered outcomes of double-J ureteral stents: Symptom frequency and satisfaction in a resource-limited healthcare system"],"prefix":"10.1177","author":[{"given":"Abdulrahman","family":"Jaber","sequence":"first","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haitham","family":"Kayal","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadeel","family":"Nicola","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seba","family":"Naamneh","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatim","family":"Hijaz","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine"},{"name":"An-Najah National University Hospital, Nablus, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2403-610X","authenticated-orcid":false,"given":"Ramzi","family":"Shawahna","sequence":"additional","affiliation":[{"name":"Department of Physiology, Pharmacology, and Toxicology, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine"},{"name":"Clinical Research Center, An-Najah National University Hospital, Nablus, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","unstructured":"Bernasconi V Tozzi M Pietropaolo A et al. Comprehensive overview of ureteral stents based on clinical aspects material and design. Cent Eur J Urol 2023; 76(1): 49\u201356. https:\/\/doi.org\/10.5173\/ceju.2023.218","DOI":"10.5173\/ceju.2023.218"},{"key":"e_1_3_3_3_2","doi-asserted-by":"crossref","unstructured":"Damiano R Oliva A Esposito C et al. Early and late complications of double pigtail ureteral stent. Urol Int 2002; 69(2): 136\u2013140. https:\/\/doi.org\/10.1159\/000065563","DOI":"10.1159\/000065563"},{"key":"e_1_3_3_4_2","doi-asserted-by":"crossref","unstructured":"Lundeen CJ Forbes CM Wong VKF et al. Ureteral stents: the good the bad and the ugly. Curr Opin Urol 2020; 30(2): 166\u2013170. https:\/\/doi.org\/10.1097\/MOU.0000000000000701","DOI":"10.1097\/MOU.0000000000000701"},{"key":"e_1_3_3_5_2","doi-asserted-by":"crossref","unstructured":"Corvino A Basile L Cocco G et al. Complications subsequent to urinary tract stent placement: an overview focusing on the imaging of Cancer patients. Medicinar 2024; 60(2): 338. https:\/\/doi.org\/10.3390\/medicina60020338","DOI":"10.3390\/medicina60020338"},{"key":"e_1_3_3_6_2","doi-asserted-by":"crossref","unstructured":"Lafi S Mhajne N Hijaz H et al. Symptoms and discomforts associated with double J ureteral stents: a prospective observational study in the Palestinian healthcare practice. BMC Urol 2025; 25(1): 68. https:\/\/doi.org\/10.1186\/S12894-025-01747-1","DOI":"10.1186\/s12894-025-01747-1"},{"key":"e_1_3_3_7_2","doi-asserted-by":"crossref","unstructured":"Bao X Sun F Yao H et al. Distal end of Double-J ureteral stent position on ureteral stent-related symptoms: a systematic review and meta-analysis. Front Surg 2022; 9: 990049. https:\/\/doi.org\/10.3389\/fsurg.2022.990049","DOI":"10.3389\/fsurg.2022.990049"},{"key":"e_1_3_3_8_2","doi-asserted-by":"crossref","unstructured":"Bayar G Yavuz A Ofluoglu Y et al. Reverse placement of a double J ureteral stent improves lower urinary tract symptoms. BMC Urol 2025; 25(1): 38. https:\/\/doi.org\/10.1186\/S12894-025-01705-X","DOI":"10.1186\/s12894-025-01705-x"},{"key":"e_1_3_3_9_2","doi-asserted-by":"crossref","unstructured":"Pereira JMBSM Antunes LDO Santos GM et al. Symptomatology and level of satisfaction in patients using the double-J ureteral stent. UroPrecision 2024; 2(4): 136\u2013146. https:\/\/doi.org\/10.1002\/URO2.79","DOI":"10.1002\/uro2.79"},{"key":"e_1_3_3_10_2","doi-asserted-by":"crossref","unstructured":"Mosayyebi A Manes C Carugo D et al. Advances in ureteral stent design and materials. Curr Urol Rep 2018; 19(5): 35. https:\/\/doi.org\/10.1007\/s11934-018-0779-y","DOI":"10.1007\/s11934-018-0779-y"},{"key":"e_1_3_3_11_2","doi-asserted-by":"crossref","unstructured":"Bosio A Ferretti S Alessandria E et al. 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. World J Urol 2024; 42(1): 186. https:\/\/doi.org\/10.1007\/S00345-024-04879-5","DOI":"10.1007\/s00345-024-04879-5"},{"key":"e_1_3_3_12_2","doi-asserted-by":"crossref","unstructured":"Hinojosa-Gonzalez DE Segall MR Eisner BH. Pharmacological management of ureteral stent-related symptoms: a systematic review Bayesian network meta-analysis and meta-regression. J Urol 2023; 210(5): 739\u2013749. https:\/\/doi.org\/10.1097\/JU.0000000000003616","DOI":"10.1097\/JU.0000000000003616"},{"key":"e_1_3_3_13_2","doi-asserted-by":"crossref","unstructured":"Bellos TC Katsimperis SN Kapsalos-Dedes SG et al. Ureteral stent-related symptoms and pharmacotherapy: a brief narrative review. J Clin Pharmacol 2023; 63(10): 1091\u20131100. https:\/\/doi.org\/10.1002\/jcph.2314","DOI":"10.1002\/jcph.2314"},{"key":"e_1_3_3_14_2","doi-asserted-by":"crossref","unstructured":"Joshi HB Newns N Stainthorpe A et al. Ureteral stent symptom questionnaire: development and validation of a multidimensional quality of life measure. J Urol 2003; 169(3): 1060\u20131064. https:\/\/doi.org\/10.1097\/01.JU.0000049198.53424.1D","DOI":"10.1097\/01.ju.0000049198.53424.1d"},{"key":"e_1_3_3_15_2","doi-asserted-by":"crossref","unstructured":"Harper JD Desai AC Maalouf NM et al. Risk factors for increased stent-associated symptoms following ureteroscopy for urinary stones: results from STENTS. J Urol 2023; 209(5): 971\u2013980. https:\/\/doi.org\/10.1097\/JU.0000000000003183","DOI":"10.1097\/JU.0000000000002670.08"},{"key":"e_1_3_3_16_2","doi-asserted-by":"crossref","unstructured":"Zhu C Qu J Yang L et al. The Chinese linguistic validation of the Ureteral Stent Symptom Questionnaire. Urol Int 2019; 102(2): 194\u2013198. https:\/\/doi.org\/10.1159\/000493764","DOI":"10.1159\/000493764"},{"key":"e_1_3_3_17_2","doi-asserted-by":"crossref","unstructured":"Thanh H Thi L. Symptoms and impact of double-J Stent on the quality of life after percutaneous nephrolithotomy in Vietnam. Int J Clin Urol 2025; 9(1): 30\u201335. https:\/\/doi.org\/10.11648\/J.IJCU.20250901.16","DOI":"10.11648\/j.ijcu.20250901.16"},{"key":"e_1_3_3_18_2","doi-asserted-by":"crossref","unstructured":"Hinojosa-Gonzalez DE Saffati G Kronstedt S et al. Complete intraureteral stents decrease urinary symptoms compared with conventional ureteral stents: a systematic review and meta-analysis. J Endourol 2024; 38(2): 198\u2013204. https:\/\/doi.org\/10.1089\/end.2023.0467","DOI":"10.1089\/end.2023.0467"}],"container-title":["Urologia Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603261481561","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03915603261481561","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603261481561","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T03:36:20Z","timestamp":1788665780000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03915603261481561"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,4]]},"references-count":17,"alternative-id":["10.1177\/03915603261481561"],"URL":"https:\/\/doi.org\/10.1177\/03915603261481561","relation":{},"ISSN":["0391-5603","1724-6075"],"issn-type":[{"value":"0391-5603","type":"print"},{"value":"1724-6075","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,4]]},"article-number":"03915603261481561"}}