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[Comment] Bladder catheterisation after female genital fistula repair

In The Lancet, Mark Barone and colleagues1 report the results of their study aimed at establishing whether 7 day bladder catheterisation is non-inferior to 14 day catheterisation in terms of fistula breakdown after repair, in women with simple genital fistulas. The traditional 14 day duration of catheterisation after fistula repair has been challenged over the years, although this duration has been widely used in practice.2–4 A survey of 40 fistula surgeons by Arrowsmith and colleagues5 reported variability of postoperative catheter drainage strategies ranging from 5 to 42 days.