Japanese linguistic validation of the ureteral stent symptom questionnaire

Junichi Matsuzaki, Sataoshi Takahashi, Akito Yamaguchi, Koichiro Wada, Jun Miyazaki, Soichi Mugiya, Tadashi Matsuda, Kikuo Nutahara, Susumu Seki, Takeshi Morimoto, Shingo Yamamoto

Research output: Contribution to journalArticlepeer-review


Objective: We validated the Japanese version of the ureteral stent symptom questionnaire in patients with an indwelling ureteric stent. Methods: The English version of the ureteral stent symptom questionnaire was translated into Japanese using a multistep process by three urologists and two independent translators. A total of 70 patients with indwelling ureteral stents completed the Japanese ureteral stent symptom questionnaire, as well as validated instruments, namely, the International Prostate Symptom Score or Overactive Bladder Symptom Score and the EuroQoL 5-dimension questionnaires. Patients completed questionnaires at 2 weeks after stent insertion and 4 weeks after stent removal. The second group included 87 healthy individuals who agreed to complete the questionnaires. The reliability of the Japanese version was evaluated for internal consistency using Cronbach’s α test. Psychometric properties of the questionnaire were analyzed, and included convergent validity, sensitivity to change and discriminant validity. Results: A total of 70 cases and 87 controls were suitable for the analysis. A comparison of patients with ureteric stents and healthy individuals was carried out, and the convergent validity determined by the correlation between other instruments and the corresponding ureteral stent symptoms questionnaire domains was satisfactory (P < 0.05). Internal consistencies (Cronbach’s α coefficients 0.73–0.80) were satisfactory, except for the sexual matters domain. Test–retest reliability was good, except for the sexual matters domain (Spearman’s coefficient 0.71–0.93). Conclusions: The Japanese version of the ureteral stent symptom questionnaire proved to be a reliable and robust instrument for the evaluation of ureteral stent-associated morbidity for both men and women.

Original languageEnglish
Pages (from-to)332-336
Number of pages5
JournalInternational Journal of Urology
Issue number4
Publication statusPublished - Apr 2022


  • morbidity
  • quality of life
  • surveys and questionnaires
  • symptoms
  • ureteral stent

ASJC Scopus subject areas

  • Urology


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