Primary surgical repair of anterior vaginal prolapse: a randomised trial comparing anatomical and functional outcome between anterior colporrhaphy and trocar-guided transobturator anterior mesh

Objective To compare anterior colporrhaphy with a trocar-guided transobturator mesh procedure (Avaulta (R) anterior). Design Randomised, controlled trial. Setting Three teaching hospitals. Population Women with a symptomatic cystocele at least stage II requiring primary surgical correction. Methods A total of 125 women were assessed at baseline and 1-year follow up. A sacrospinous hysteropexy or posterior colporrhaphy was performed when indicated. Main outcome measures The primary outcome was the difference in anatomical cure (defined as Pelvic Organ Prolapse-Quantification