{"title":"A Randomized Study of a Comfort-Oriented Daytime Double-J Stent Removal Protocol: Effects on Pain, Anxiety, and Patient Satisfaction.","authors":"Xiaoyan Xu, Shuo Wu, Qingqing Yu, Rong Tang","doi":"10.5152/tud.2026.25137","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical impact of a modified daytime double-J (DJ) stent removal model based on comfort-oriented medical care on patient pain, anxiety, procedural efficiency, and satisfaction.</p><p><strong>Methods: </strong>Between January 2024 and June 2025, 160 patients undergoing ureteroscopy or percutaneous nephrolithotomy requiring DJ stent removal were randomly assigned to a comfort group (n = 80) or a conventional group (n = 80). The comfort group received structured preoperative education, intravenous sedation combined with urethral local anesthesia, pressurized irrigation-assisted cystoscopic removal, and postoperative follow-up. The conventional group underwent traditional outpatient cystoscopic stent removal. Outcomes included Visual Analog Scale (VAS) pain scores, Self-Rating Anxiety Scale (SAS) scores, stent removal time, patient satisfaction, and postoperative complications.</p><p><strong>Results: </strong>The comfort group reported significantly lower 24-hour VAS pain scores than the conventional group (2.6 ± 0.9 vs. 5.5 ± 1.0, P < .001). Baseline SAS scores were significantly lower in the comfort group than in the conventional group (30.2 ± 5.7 vs. 46.2 ± 7.0, P < .001), and postoperative SAS scores were 28.4 ± 4.7 vs. 42.0 ± 6.8, both P < .001. Stent removal time was shorter in the comfort group (1.90 ± 0.35 minutes vs. 2.20 ± 0.50 minutes, P = .014). Satisfaction scores and satisfaction rates were higher in the comfort group (4.6 ± 0.5 vs. 3.6 ± 0.7, 96.2% vs. 70.0%, P < .01). The 24-hour postoperative complication rate was low and not statistically significant (2.5% vs. 2.5%, P > .05).</p><p><strong>Conclusion: </strong>The comfort-oriented daytime stent removal model significantly reduces procedural pain and anxiety while improving patient satisfaction without increasing short-term complications. Cite this article as: Xu X, Wu S, Yu Q, Tang R. A randomized study of a comfort-oriented daytime double-J stent removal protocol: effects on pain, anxiety, and patient satisfaction. Urol Res Pract. 2026, 52, 0137, doi: 10.5152/tud.2026.25137.</p>","PeriodicalId":101337,"journal":{"name":"Urology research & practice","volume":"52 ","pages":"1-8"},"PeriodicalIF":1.1000,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13324901/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology research & practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5152/tud.2026.25137","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"0","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To evaluate the clinical impact of a modified daytime double-J (DJ) stent removal model based on comfort-oriented medical care on patient pain, anxiety, procedural efficiency, and satisfaction.
Methods: Between January 2024 and June 2025, 160 patients undergoing ureteroscopy or percutaneous nephrolithotomy requiring DJ stent removal were randomly assigned to a comfort group (n = 80) or a conventional group (n = 80). The comfort group received structured preoperative education, intravenous sedation combined with urethral local anesthesia, pressurized irrigation-assisted cystoscopic removal, and postoperative follow-up. The conventional group underwent traditional outpatient cystoscopic stent removal. Outcomes included Visual Analog Scale (VAS) pain scores, Self-Rating Anxiety Scale (SAS) scores, stent removal time, patient satisfaction, and postoperative complications.
Results: The comfort group reported significantly lower 24-hour VAS pain scores than the conventional group (2.6 ± 0.9 vs. 5.5 ± 1.0, P < .001). Baseline SAS scores were significantly lower in the comfort group than in the conventional group (30.2 ± 5.7 vs. 46.2 ± 7.0, P < .001), and postoperative SAS scores were 28.4 ± 4.7 vs. 42.0 ± 6.8, both P < .001. Stent removal time was shorter in the comfort group (1.90 ± 0.35 minutes vs. 2.20 ± 0.50 minutes, P = .014). Satisfaction scores and satisfaction rates were higher in the comfort group (4.6 ± 0.5 vs. 3.6 ± 0.7, 96.2% vs. 70.0%, P < .01). The 24-hour postoperative complication rate was low and not statistically significant (2.5% vs. 2.5%, P > .05).
Conclusion: The comfort-oriented daytime stent removal model significantly reduces procedural pain and anxiety while improving patient satisfaction without increasing short-term complications. Cite this article as: Xu X, Wu S, Yu Q, Tang R. A randomized study of a comfort-oriented daytime double-J stent removal protocol: effects on pain, anxiety, and patient satisfaction. Urol Res Pract. 2026, 52, 0137, doi: 10.5152/tud.2026.25137.
目的：评价基于舒适医疗的改良日间双j （DJ）支架取出模型对患者疼痛、焦虑、手术效率和满意度的临床影响。方法：在2024年1月至2025年6月期间，160例接受输尿管镜检查或经皮肾镜取石术需要DJ支架取出的患者随机分为舒适组（n = 80）和常规组（n = 80）。舒适组患者接受有组织的术前宣教、静脉镇静联合尿道局麻、加压冲洗辅助膀胱镜取出、术后随访。常规组接受传统门诊膀胱镜支架取出术。结果包括视觉模拟量表（VAS）疼痛评分、焦虑自评量表（SAS）评分、支架取出时间、患者满意度和术后并发症。结果：舒适组24小时VAS疼痛评分明显低于常规组（2.6±0.9比5.5±1.0,P < 0.001）。舒适组的SAS基线评分显著低于常规组（30.2±5.7比46.2±7.0,P < 0.001），术后SAS评分28.4±4.7比42.0±6.8，P均< 0.001。舒适组支架取出时间更短（1.90±0.35 min vs. 2.20±0.50 min, P = 0.014）。舒适组患者满意度得分和满意率均高于舒适组（4.6±0.5比3.6±0.7,96.2%比70.0%,P < 0.01）。术后24小时并发症发生率低，无统计学意义（2.5% vs. 2.5%, P < 0.05）。结论：以舒适为导向的日间支架取出模式可显著减少手术疼痛和焦虑，提高患者满意度，且不增加短期并发症。徐翔，吴松，于强，唐锐。日间双j型支架置换术对疼痛、焦虑和患者满意度的影响。urrol Res practice .2026, 52, 0137, doi: 10.5152/tud.2026.25137。
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