Sahin 2011.
Study characteristics | ||
Methods |
Study design: RCT Dates study conducted: February 2006‐ January 2008 |
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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 |
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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. |
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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 |