Vaginal surgery with mesh showed no clear difference in bladder injury compared with without mesh (low certainty).
Vaginal surgery with mesh may leads to higher mesh exposure compared with without mesh (low certainty).
Vaginal surgery with mesh showed no clear difference in bladder function ‐ Stress incontinence compared with without mesh (moderate certainty).
Vaginal hysterectomy showed no clear difference in surgery for recurrent prolapse compared with sacral hysteropexy/cervicopexy (uterine prolapse) (low certainty).
Vaginal hysteropexy showed no clear difference in surgery for recurrent prolapse compared with sacral hysteropexy (uterine prolapse) (moderate certainty).
Vaginal procedure probably leads to higher surgery for recurrent prolapse compared with sacral colpopexy (vault prolapse) (moderate certainty).
Vaginal hysterectomy showed no clear difference in surgery for recurrent prolapse compared with vaginal hysteropexy (uterine prolapse) (moderate certainty).
Vaginal uterosacral colpopexy showed no clear difference in surgery for recurrent prolapse compared with alternative vaginal native tissue apical suspension (moderate certainty).
Sacral colpopexy: laparoscopic showed no clear difference in surgery for recurrent prolapse compared with alternative approach (moderate certainty).
Biological graft showed no clear difference in repeat surgery for any prolapse (24 months) compared with native tissue repair (low certainty).
Transanal repair showed no clear difference in repeat surgery for any prolapse (25 months) compared with transvaginal repair (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).
It is very uncertain whether anterior prolapse repair: native tissue changes repeat surgery for prolapse (stage 2 or greater) at 2 years compared with absorbable mesh (very low certainty).
Anterior prolapse repair: native tissue showed no clear difference in repeat surgery for prolapse (1‐2 years) compared with biological graft (moderate certainty).
Anterior prolapse repair: native tissue probably leads to higher repeat surgery for prolapse (1‐3 years) compared with polypropylene mesh (moderate certainty).
Anterior prolapse repair: native tissue showed no clear difference in repeat surgery for stress urinary incontinence (1‐2 years) compared with polypropylene mesh (low certainty).
Transvaginal biological graft showed no clear difference in surgery for recurrent prolapse (1 to 2 years) compared with native tissue repair (moderate certainty).