الفهرس 
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Abstract
After warning and ban of transvaginal use of pre-cut commercially available meshes for transvaginal repair of anterior POP, the optimum mesh is still a matter of debate and searched for.
The current study aimed at evaluating the feasibility, safety and efficacy of transvaginal placement of collagen coated polyester mesh as a treatment option in anterior compartmental prolapse and detecting the early postoperative and peri-operative complications as well as anatomical and objective cure rate.
Important additional research would also involve a better selection of women who could potentially benefit from (partially absorbable) mesh, e.g., selecting those with an increased risk for recurrence for POP as well as increasing number of patients in the study and comparing partially absorbable mesh to native tissue repair as regard incidence of re-operation.
In our opinion, a partially absorbable mesh could potentially be a promising choice for further research and studies, as there was no failure in our patients in addition there was no cases of mesh erosion.
After1-year follow-up, the anatomical success rate was significantly in favor of use of composite mesh in repair of anterior POP. In our opinion, these observations support the clinical value of longer periods of follow-up in POP trials than just 12 months.
The study included 20 patients suffering from POP admitted at Department of Urology, Ain Shams university hospitals, Cairo, Egypt from March 2017 till June 2018.
After general and local examination and detailed history for the medical and surgical co-morbidities, all patients received a comprehensive conversation on the result as well as possible complications of the procedure, and informed consent for the procedure based on the results of examination, investigation and patient’s wish was obtained.
On evaluation of the operative outcomes, the estimated blood loss ranged from 30 to 200ml with mean 106.00 ± 52.46. Concomitant TOT was done for 10 patients to treat associated SUI. While sacrospinous fixation was done in 6 patients to treat apical prolapse
As regards intra-operative complications, the procedures were uneventful for all patients without any urinary tract injury, blood transfusion or need to re-operation in any case.
As regards the postoperative anatomical and functional outcomes; one patient (5%) complained of de novo SUI. another one complained of de novo dyspareunia (5%) which was alleviated by the use of local lubricants and vaginal estrogen cream. Three patients (15%) complained of de novo groin pain which was responding to analgesics. Mesh erosion didn’t occur in any of our patients through a 1-2 year period of follow up.
Nineteen out of twenty patients was satisfied by the procedure and the only patient who was dissatisfied was secondary to appearance of an occult de novo SUI which was not evident even after reduction of the prolapse.
In conclusion, this study, emphasizes that collagen coated transvaginal use is a safe and effective procedure for the treatment of anterior POP at least in a period of 1-year follow up.