{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T18:37:11Z","timestamp":1761676631595},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,3,12]],"date-time":"2018-03-12T00:00:00Z","timestamp":1520812800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/igo\/legalcode"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2018,7]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Bladder catheterization duration after urinary obstetric fistula surgery varies widely.<\/jats:p><\/jats:sec>Objective<\/jats:title>To assess the effect of bladder catheterization duration after urinary obstetric fistula surgery.<\/jats:p><\/jats:sec>Search strategy<\/jats:title>Medline, EMBASE<\/jats:styled-content>, CINAHL<\/jats:styled-content>, GIM<\/jats:styled-content>, and POPLINE<\/jats:styled-content> databases were searched, without language restrictions, using \u201cobstetric urinary fistula\u201d and \u201ccatheterization\u201d from inception to September 30, 2017.<\/jats:p><\/jats:sec>Selection criteria<\/jats:title>Randomized controlled trials comparing shorter versus longer (>10\u00a0days) bladder catheterization after urinary obstetric fistula repair were included.<\/jats:p><\/jats:sec>Data collection and analysis<\/jats:title>Data were extracted and meta\u2010analyses were conducted. The GRADE<\/jats:styled-content> system was used to assess evidence quality.<\/jats:p><\/jats:sec>Main results<\/jats:title>Two unblinded non\u2010inferiority trials (684 patients combined) were included. There were no differences between shorter and longer bladder catheterization in the risk of fistula repair breakdown either before (relative risk [RR<\/jats:styled-content>] 1.14; 95% confidence interval [CI<\/jats:styled-content>] 0.49\u20132.64) or after (RR<\/jats:styled-content> 1.64; 95% CI<\/jats:styled-content> 0.81\u20133.31) hospital discharge. Similarly, urinary infection (RR<\/jats:styled-content> 5.18; 95% CI<\/jats:styled-content> 0.25\u2013107.44); urinary incontinence before (RR<\/jats:styled-content> 1.15; 95% CI<\/jats:styled-content> 0.54\u20132.43) or after (RR<\/jats:styled-content> 1.16; 95% CI<\/jats:styled-content> 0.62\u20132.18) discharge; urinary retention (RR<\/jats:styled-content> 1.34; 95% CI<\/jats:styled-content> 0.79\u20132.27); or extended hospital stay (RR<\/jats:styled-content> 9.33; 95% CI<\/jats:styled-content> 0.51\u2013172.41) were not associated with duration of catheterization. Evidence quality was low or moderate.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Shorter, compared to longer, bladder catheterization duration after urinary obstetric fistula surgery was not associated with significant outcome differences.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12462","type":"journal-article","created":{"date-parts":[[2018,2,14]],"date-time":"2018-02-14T03:08:55Z","timestamp":1518577735000},"page":"15-22","source":"Crossref","is-referenced-by-count":4,"title":["Systematic review of shorter versus longer duration of bladder catheterization after surgical repair of urinary obstetric fistula"],"prefix":"10.1002","volume":"142","author":[{"given":"M. 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