Vaginal surgery with mesh vs non‐mesh repair
Vaginal surgery with mesh showed no clear difference in awareness of prolapse compared with without mesh (moderate certainty).
- RR 1.08 [0.35, 3.3]1 study · 54 participantsModerate
Vaginal surgery with mesh showed no clear difference in awareness of prolapse compared with without mesh (moderate certainty).
Vaginal procedure probably leads to higher awareness of prolapse compared with sacral colpopexy (vault prolapse) (moderate certainty).
Vaginal hysteropexy showed no clear difference in awareness of prolapse compared with sacral hysteropexy (uterine prolapse) (low certainty).
Vaginal hysterectomy showed no clear difference in awareness of prolapse compared with vaginal hysteropexy (uterine prolapse) (moderate certainty).
Vaginal uterosacral colpopexy showed no clear difference in awareness of prolapse compared with alternative vaginal native tissue apical suspension (moderate certainty).
Absorbable showed no clear difference in awareness of prolapse compared with non absorbable sutures (moderate certainty).
It is very uncertain whether vaginal hysterectomy changes awareness of prolapse compared with sacral hysteropexy/cervicopexy (uterine prolapse) (very low certainty).
It is very uncertain whether anterior prolapse repair: native tissue changes awareness of prolapse (2 years) compared with absorbable mesh (very low certainty).
Anterior prolapse repair: native tissue showed no clear difference in awareness of prolapse (1‐2 years) compared with biological graft (low certainty).
Anterior prolapse repair: native tissue probably leads to higher awareness of prolapse (1‐3 years) compared with polypropylene mesh (moderate certainty).
Sacral colpopexy: laparoscopic showed no clear difference in awareness of prolapse: Laparoscopic versus open compared with alternative approach (low certainty).
Biological graft showed no clear difference in awareness of prolapse (subjective failure) (16‐24 months) compared with native tissue repair (moderate certainty).
Transanal repair showed no clear difference in awareness of prolapse (subjective failure) (12‐25 months) compared with transvaginal repair (low certainty).