Patient‐reported outcome measures of percutaneous nephrostomy vs JJ stent in obstructive urolithiasis: results of the STent Or NEphrostomy (STONE) randomised controlled trial

Hugo W. Schuil; Nora Hendriks; Ruben G. Duijnhoven; Bart C. H. Oskam; Tom J.H. Arends; Diederick Duijvesz; Alexander D. Horsch; Bart van der Heij; Irene M. Tjiam; Hans van Overhagen; Armand Lamers; Otto M. van Delden; Wout Scheepens; Jamie M. A. Drossaerts; Frank C. H. d'Ancona; Steven Boering; Janneke I. M. van Uhm; Rutger W. van der Meer; J. Herman van Roijen; Martin de Kiefte; Ad J.M. Hendrikx; Saskia Weltings; Rob C.M. Pelger; Harrie P. Beerlage; Barbara M.A. Schout; Guido M. Kamphuis

doi:10.1111/bju.70249

Key Points

To compare patient-reported outcomes of percutaneous nephrostomy (PCN) and JJ stent in obstructive urolithiasis.
Randomised controlled trial design
Participants with obstructive urolithiasis
Comparison of PCN and JJ stent interventions
Assessment of health-related quality of life and pain levels
Both PCN and JJ stent improved quality of life and pain comparably
JJ stent resulted in more urinary symptoms and peak pain
Better self-care reported with JJ stent
Emphasis on minimizing drainage duration and considering individual symptoms for treatment decisions

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Implication

A randomised controlled trial compares nephrostomy and stent outcomes in obstructive urolithiasis, suggesting tailored treatment choices.

Abstract

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-care. Baseline self-care and urinary symptoms should guide shared decision-making. Drainage duration should be minimised.

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Schuil et al. (2026) studied this question.

synapsesocial.com/papers/69be387d6e48c4981c678e21 https://doi.org/10.1111/bju.70249

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Patient‐reported outcome measures of percutaneous nephrostomy vs JJ stent in obstructive urolithiasis: results of the STent Or NEphrostomy (STONE) randomised controlled trial

Key Points

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Implication

Abstract

Discussion

Cite This Study

Patient‐reported outcome measures of percutaneous nephrostomy vs JJ stent in obstructive urolithiasis: results of the STent Or NEphrostomy (STONE) randomised controlled trial

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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