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).
Vaginal surgery with mesh showed no clear difference in awareness of prolapse compared with without mesh (moderate certainty).
Vaginal surgery with mesh showed no clear difference in surgery for recurrent prolapse compared with without mesh (moderate certainty).
Vaginal surgery with mesh showed no clear difference in prolapse on examination (Stage 2 or above) ‐ Any recurrent prolapse compared with without mesh (low certainty).
Vaginal surgery with mesh showed no clear difference in bladder injury 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).
Transvaginal permanent mesh probably leads to lower awareness of prolapse (0.5 to 7 years) compared with native tissue repair (moderate certainty).
Transvaginal permanent mesh may leads to higher repeat surgery (0.5 to 7 years) compared with native tissue repair (low certainty).
It is very uncertain whether transvaginal permanent mesh changes recurrent prolapse on examination (any compartment) compared with native tissue repair (very low certainty).
Transvaginal permanent mesh may leads to higher visceral injury compared with native tissue repair (low certainty).
Transvaginal permanent mesh probably leads to higher bladder function compared with native tissue repair (moderate certainty).
Transvaginal permanent mesh showed no clear difference in painful intercourse ‐ de novo dyspareunia compared with native tissue repair (moderate certainty).
It is very uncertain whether transvaginal permanent mesh changes quality of life compared with native tissue repair (very low certainty).
Single‐incision slings showed no clear difference in number of women with mesh exposure, extrusion or erosion in any area compared with retropubic minimally‐invasive slings (low certainty).
It is very uncertain whether single‐incision slings changes number of women requiring repeat continence surgery or mesh revision compared with retropubic minimally‐invasive slings (very low certainty).
Single‐incision slings leads to lower number of women with mesh exposure, extrusion or erosion in any area compared with transobturator minimally‐invasive slings (high certainty).
Single‐incision slings showed no clear difference in number of women requiring repeat continence surgery or mesh revision compared with transobturator minimally‐invasive slings (low certainty).
Single‐incision slings showed no clear difference in number of women with mesh exposure, extrusion or erosion in any area compared with autologous fascial slings (low certainty).