{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:03:08Z","timestamp":1790290988639,"version":"4.1.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"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":["Journal of Endourology"],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Ureteral stents are commonly used after ureteroscopic lithotripsy (URS) to prevent obstruction, but often cause stent-related symptoms (SRS), which can impact patients\u2019 quality of life. The Ureteral Stent Symptoms Questionnaire (USSQ) is a validated tool for assessing these symptoms. This study aimed to compare the SRS of three ureteral stents: conventional Double-J (cDJ, Tria), soft DJ (sDJ, Tria Soft), and loop-tail (LT, Polaris Loop), using the Japanese version of the USSQ.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      In this multicenter, prospective cohort study, 96 patients undergoing URS for upper urinary tract stones were enrolled and evenly assigned to one of the three stent groups. The USSQ was administered at baseline, 2 and 14 days after stent placement, and 2 weeks after stent removal. The primary end point was the USSQ score on postoperative day 14. The secondary end points included USSQ scores on day 2, postremoval, and score changes over time. Statistical analysis was performed using paired and unpaired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests, with\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05 considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      On day 14, the LT group showed significantly better general health index scores than the cDJ group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), whereas the sDJ group showed a favorable trend (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.054). The LT group had worse scores in the sexual matters domain (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.011), although all groups scored low. There were no significant between-group differences in urinary symptoms, pain, or work performance. The LT and sDJ groups had significantly better general health index scores than the cDJ group on day 2 and after removal. Urinary symptoms and pain were highest early poststenting and improved significantly over time (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The Polaris Loop stent significantly reduced SRS compared with the Tria stent, whereas the Tria Soft stent showed a favorable trend toward improvement. Because SRS is a major patient concern, general health should be considered alongside urinary and pain symptoms when selecting an optimal stent.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790251393708","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T08:19:27Z","timestamp":1762417167000},"page":"280-287","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Effects of Three Different Ureteral Stents on Stent-Related Symptoms in Patients Undergoing Ureteroscopic Lithotripsy: Assessment Using the Ureteral Stent Symptoms Questionnaire"],"prefix":"10.1177","volume":"40","author":[{"given":"Kiyoaki","family":"Nishihara","sequence":"first","affiliation":[{"name":"Department of Urology, Kurume University School of Medicine, Kurume, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirofumi","family":"Kurose","sequence":"additional","affiliation":[{"name":"Department of Urology, Chikugo City Hospital, Chikugo, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Urology, Kurume University Medical Center, Kurume, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiro","family":"Matsunaga","sequence":"additional","affiliation":[{"name":"Department of Urology, Asakura Medical Association Hospital, Asakura, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Suekane","sequence":"additional","affiliation":[{"name":"Department of Urology, Kurume University School of Medicine, Kurume, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisaji","family":"Kumagae","sequence":"additional","affiliation":[{"name":"Department of Urology, Omuta City Hospital, Omuta, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuaki","family":"Chikui","sequence":"additional","affiliation":[{"name":"Department of Urology, Kurume University School of Medicine, Kurume, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhisa","family":"Ejima","sequence":"additional","affiliation":[{"name":"Department of Urology, Takagi Hospital, Okawa, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriyuki","family":"Toyozawa","sequence":"additional","affiliation":[{"name":"Department of Urology, Saiseikai Omuta Hospital, Omuta, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryota","family":"Ogata","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Graduate School of Medicine, Kurume University, Kurume, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosuke","family":"Ueda","sequence":"additional","affiliation":[{"name":"Department of Urology, Kurume University School of Medicine, Kurume, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiichiro","family":"Uemura","sequence":"additional","affiliation":[{"name":"Department of Urology, Kurume University School of Medicine, Kurume, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Nakiri","sequence":"additional","affiliation":[{"name":"Department of Urology, Kurume University School of Medicine, Kurume, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigetaka","family":"Suekane","sequence":"additional","affiliation":[{"name":"Department of Urology, Kurume University Medical Center, Kurume, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenta","family":"Murotani","sequence":"additional","affiliation":[{"name":"School of Medical Technology, Kurume University, Kurume, Fukuoka, Japan."},{"name":"Biostatistics Center, Kurume University, Kurume, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsukasa","family":"Igawa","sequence":"additional","affiliation":[{"name":"Department of Urology, Kurume University School of Medicine, Kurume, Fukuoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0090-4295(01)01644-2"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.57910"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000049198.53424.1d"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/089277901750134421"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2005.19.990"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.02.019"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/iju.14796"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000196"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001098"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0167670"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-024-04879-5"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-014-1394-2"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15395"},{"key":"e_1_3_2_15_2","unstructured":"Boston Scientific. Fit Stent with PercuShield\u2122 Technology. Boston Scientific: Natick MA; 1987. Available from: https:\/\/www.bostonscientific.com\/jp-JP\/products\/stent\/FitStent.html [Last accessed: May1 2025]."},{"key":"e_1_3_2_16_2","unstructured":"Boston Scientific. Polaris\u2122 Loop Ureteral Stent. Boston Scientific: Natick MA; 1979. Available from: https:\/\/www.bostonscientific.com\/en-US\/products\/stents\u2013ureteral\/polaris-loop.html [Last accessed: May1 2025]."},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-89808-x"}],"container-title":["Journal of Endourology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08927790251393708","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08927790251393708","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08927790251393708","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T07:11:14Z","timestamp":1787123474000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08927790251393708"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,12]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3,1]]}},"alternative-id":["10.1177\/08927790251393708"],"URL":"https:\/\/doi.org\/10.1177\/08927790251393708","relation":{},"ISSN":["0892-7790","1557-900X"],"issn-type":[{"value":"0892-7790","type":"print"},{"value":"1557-900X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,12]]}}}