Vaginal surgery with mesh may leads to higher mesh exposure compared with without mesh (low certainty).
Transvaginal permanent mesh probably leads to higher mesh exposure compared with native tissue repair (moderate certainty).
It is very uncertain whether vaginal hysterectomy changes mesh exposure compared with sacral hysteropexy/cervicopexy (uterine prolapse) (very low certainty).
Anterior prolapse repair: native tissue probably leads to lower repeat surgery for prolapse, SUI or mesh exposure (1‐3 years) compared with polypropylene mesh (moderate certainty).
Absorbable showed no clear difference in suture/mesh exposure compared with non absorbable sutures (low certainty).
It is very uncertain whether vaginal hysteropexy changes mesh exposure (1‐4 years) compared with sacral hysteropexy (uterine prolapse) (very low certainty).