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Background: Numerous techniques have been used during the last century to treat Pelvic organ prolapse, with varying success rates both for the abdominal and the vaginal route. Vaginal route for treatment of anterior POP using native tissue repair is associated with high relapse rates. Aim of the work: To assess safety and efficacy of four-armed transobturator collagen coated polyester mesh in repair of cystocele. Patients and Methods: 20 patients with stage II or more cystoceleaccording to Baden Walker classification system with or without SUI or apical prolapse were evaluated. They underwent cystocele repair trans-vaginally via tailored four-armed transobturator collagen coated polyester mesh. Results: The mean follow-up time was 15.50 ± 3.43 month (Range, 12-24 month). The anatomical success rate was 100% according to our definition to successful surgery which implies stage 1 or absence of anterior prolapse at follow up according to Badenwalker classification system. None of our patients developed mesh exposure all through their period of follow up. Conclusion: Our study emphasizes that collagen coated polyester mesh use in transvaginal repair of anterior pelvic organ prolapse is safe and effective at least over a period of 12 month follow up.

ASSESSMENT OF COLLAGEN COATED POLYESTER FOUR-ARMED TRANSOBTURATOR MESH IN REPAIR OF ANTERIOR PELVIC ORGAN PROLAPSE. A PILOT STUDY