Background: Double J (DJ) stents are used post-ureteroscopy to maintain ureteral patency and prevent strictures, but can cause significant morbidity. Removal with an extraction suture avoids cystoscopy, though data on effectiveness and discomfort is limited. Objective: To evaluate the outcomes of using a customized suture stent compared to a conventional DJ stent, focusing on complications and patient comfort. Method: This quasi-experimental study was conducted at the Department of Urology, Dhaka Medical College Hospital, from May 2021 to April 2022. Ninety-one patients with lower and mid ureteric stones were enrolled using purposive sampling. Patients were alternately assigned to either the traditional DJ stent group (6 Fr DJ stent) or the customized suture stent group (6 Fr customized DJ suture stent). Urinary symptoms were assessed, and pain during stent removal was measured using the Visual Analogue Scale (VAS). Urinary tract infections were detected through urine routine microscopy examination (RME) and culture/sensitivity (C/S). Adverse effects, including stent migration, were recorded. Results: The mean ages were 32.4 (±13.0) years in the customized suture stent group and 37.1 (±13.7) years in the traditional DJ stent group. Males comprised 71.1% of the customized suture stent group and 52.2% of the traditional DJ stent group. The traditional DJ stent group had a significantly longer stent duration (p=0.015). Median VAS scores were 1.0 (1.0-2.0) for the customized suture stent group and 3.0 (3.0-5.0) for the traditional DJ stent group (p<0.001). There were no significant differences between groups regarding urine RME, C/S, frequency, dysuria, hematuria, incontinence, and urgency. Conclusion: The VAS score during stent removal was significantly higher in the traditional DJ stent group compared to the customized suture stent group, which enabled early self-removal 4 to 7 days postureteroscopy. No significant differences were observed between groups regarding urinary complications.