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. 2021 Jun 29;2021(6):CD004011. doi: 10.1002/14651858.CD004011.pub4

Sahin 2011.

Study characteristics
Methods Study design: RCT
Dates study conducted: February 2006‐ January 2008
Participants Number of participants: eligible, not reported; 66 randomised; reported, not reported
Setting: Istanbul
Country: Turkey
Population: men
Age (mean): range: 48‐77 (average 62); A 62.5; B 61.5; C 62
Inclusion criteria: surgical candidates diagnosed with benign prostatic hyperplasia
Condition for hospitalisation: TURP
Exclusion criteria: cases with > 50 cc of residual urine, central and peripheric nervous system illnesses or diabetes were excluded from the study
Use of antibiotic prophylaxis: not reported
Interventions Group A (n = 22): IUC removal on the 1st post‐op day
Group B (n = 22): IUC removal on the 2nd post‐op day
Group C (n = 22): IUC removal on the 3rd post‐op day
Size and type of catheter used: 22F 3‐way Foley catheter
Study definition of short‐term catheterisation (days): not reported
Intended duration of catheterisation for each group:
A: IUC removal on the 1st post‐op day
B: IUC removal on the 2nd post‐op day
C: IUC removal on the 3rd post‐op day
Note: catheter removal criteria were defined as having clear or pinkish urine colour and the absence of haemorrhage. 2 cases from Group A and one case from Group B did not meet these criteria; hence their catheters were not removed on the designated day.
Outcomes Recatheterisation
Definition of CAUTI or bacteriuria Not reported
Sponsorship/funding Not reported
Ethical approval Not reported
Notes We determined criteria for recatheterisation to be development of vesical globe, complaints of excessive irritation and the obstruction of urinary flow due to clotted or non‐clotted bleeding
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: “Cases were randomised into three groups”
Comment: method of randomisation unclear
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias)
All outcomes High risk Not reported. Unlikely blinding was possible
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not reported
Blinding of microbiological outcome (detection bias) Low risk No microbiological outcomes reported
Incomplete outcome data (attrition bias)
All outcomes Low risk No withdrawals or exclusions from the study
Selective reporting (reporting bias) High risk The methods section mentions that urine analysis was performed however no data on infection or bacteriuria were presented in the results
Other bias Low risk Appears to be free from other sources of bias