Reviewer ’s report  
 
Title: Study comparing 3 hour and 24 hour post -operative removal of bladder catheter and 
vaginal  pack following vaginal surgery: A randomised controlled trial  
 
Version: 0 Date: 16 Nov 2016  
 
Reviewer: Mustafa Gazi Uçar  
 
Reviewer's report:  
 
This manuscript describes an interesting study that looked post -operative removal of bladder 
catheter and vaginal pack following vaginal surgery. The strengths of th e present study are the 
prospective randomized nature of the work, relatively large sample size, and novelty in terms of 
investigating the removal of bladder catheter and vaginal pack following vaginal surgery.  
 
 
 
 Please  clearly explain the strengths  and weaknesses of the study in "discussion" section.  
 
 
 What is the significance of 3 hours and 24 hours? Why they were chosen? Please provide 
rationale and data for this methodology.  
 
 
 The major limitaions of these study is the lack of surgical types. Sur gical types (  Ward Mayo 
operation, Manchester repair and Vaginal hysterectomy) should be presented more clearly, a 
table can be created. The authors need to present the surgical types for each group and then the 
statistical difference between groups for e ach groups. There were 3 different  types of surgery 
and might have different effects to the vaginal bleeding, urinary retention, febrile morbidity and  
urinary infections.  
 
 
 It was observed that among the total patients studied, 37.5% were operated by  senior residents, 
34% were operated by junior residents and 28.5% were operated by consultants. Is all surgery 
performed in same manner. Please explain in "Method and Material" section.  
 
 
 Did you have any additional benefit with patients  in whom the bladder  catheter and vaginal 
pack were removed in 3 hours. ( less hospital stay,  less pain, less anxiety ect.). if yes, Please 
explain in "result" section.  
 
 
 
 
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comments to the authors.  
 
Yes 
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
Yes 
 
Are you able to assess any statistics in the manuscript or would you recommend an  
additional statistical review?  
If an additional statistical review is recommended, please speci fy what aspects require further 
assessment in your comments to the editors.  
 
I am able to assess the statistics  
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
 
Acceptable  
 
Declaration of competing interests  
Please complete a declaration of competing interests, considering the following questions:  
 
1. Have you in the past five years received reimbursements, fees, funding, or salary f rom an  
organisation that may in any way gain or lose financially from the publication of this  
manuscript, either now or in the future?  
 
2. Do you hold any stocks or shares in an organisation that may in any way gain or lose  
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold or are you currently applying for any patents relating to the content of the  
manuscript?  
 
4. Have you received reimbursements, fees, funding, or salary from an organization that 
holds  or has ap plied for patents relating to the content of the manuscript?  
 
5. Do you have any other financial competing interests?  
 
6. Do you have any non -financial competing interests in relation to this paper?  
If you can answer no to all of the above, write 'I declare that I have no competing interests' 
below.  If your reply is yes to any, please give details below.  
 
no conflict of interest  
 
I agree to the open peer review policy of the journal. I understand that my name will be included  
on my report t o the authors and, if the manuscript is accepted for publication, my named report  
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which I do not wish to be included in my named report can be included as  confidential comments  
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I agree to the open peer review policy of the journal