Evidence map›Paper›PMID 31152196›Full record

Trial reportWorld journal of urology2020

Size does matter: ureteral stents with a smaller diameter show advantages regarding urinary symptoms, pain levels and general health.

Sebastian Nestler, B Witte, L Schilchegger, J Jones

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Observational
  9. Pharmacological treatment of bladder stent symptoms.Bladder (San Francisco, Calif.) · 2024
    Review
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  12. Magnetic resonance imaging of in vitro urine flow in single and tandem stented ureters subject to extrinsic ureteral obstruction.International journal of urology : official journal of the Japanese Urological Association · 2022
    Article
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4 · The record

Corrections and comments

  • Commented on by
    2021
5 · Who and what money

Authors and funding

4 authors.

Sebastian NestlerDepartment of Urology, Hochtaunusklinik Bad Homburg, Bad Homburg, Germany. sebastian-nestler@web.de.
B WitteDepartment of Urology, Hochtaunusklinik Bad Homburg, Bad Homburg, Germany.
L SchilcheggerDepartment of Urology, Hochtaunusklinik Bad Homburg, Bad Homburg, Germany.
J JonesDepartment of Urology, Hochtaunusklinik Bad Homburg, Bad Homburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the effect of different diameters of ureteral stents (F4.7, F6, and F7) on quality of life regarding the subdomains of the Ureteral Stent Symptom Questionnaire. MATERIALS AND

methodsAll patients undergoing URS between April 2016 and July 2017 were prospectively randomised for ureteral stents F4.7, F6 and F7, respectively. All patients with other pathologies than a ureter stone, ureteral stents on both sides or other therapy than a secondary URS were excluded. Readmitted patients were interviewed using the USSQ. Furthermore, success rates of the second URS were also noted.

resultsBetween April 2016 to July 2017, 181 patients were included, 48 with a ureteral stent F4.6, 66 with F6 and 67 with F7. No significant differences in age, gender or position of the stones before URS were found (all p > 0.5). Comparing scores of USSQ between F4.7 and F6 or F6 and F7, scores were in favour of the smaller stent, but significance was only reached in "Work performance score" (F6-F7, p = 0.04) and "Urinary index score" (F4.7-F6, p = 0.004). When comparing F4.7 with F7, significant differences in all subgroups in favour of F4.7 were documented (all p < 0.03). Surgical success of the second URS was comparable in all groups (all above 82%, p > 0.15).

conclusionDiscomfort and pain increase with the diameter of the indwelling ureter stent, while the success of the following URS is not compromised by a ureter stent with a smaller diameter. Therefore, ureteral stents with a small diameter should be preferred.

Indexed as

UreteroscopyAdultAgedDiagnostic Self EvaluationEquipment DesignFemaleHumansMaleMiddle AgedPainPostoperative ComplicationsProspective StudiesQuality of LifeSingle-Blind MethodStentsUreteral CalculiStent-related painUreterorenoscopyUreter stentsUSSQ

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.