Combined anterior vaginal wall mesh with sacrospinous ligament fixation or with posterior intravaginal slingplasty for uterovaginal or vaginal vault prolapse

► Outcomes of anterior mesh with two apical support operations for pelvic organ prolapse. ► Anterior mesh randomly with sacrospinous fixation (SSLF) or intravaginal slingplasty (IVS). ► Anterior mesh with SSLF or with IVS yielded similar results at 3-year follow-up. ► Erosion rate of anterior composite mesh was 9%. ► Anterior mesh repair allowed feasible support with SSLF or IVS.