Current Bladder Dysfunction Reports

, Volume 8, Issue 1, pp 25–31 | Cite as

Vaginal Prolapse Repair—Native Tissue Repair versus Mesh Augmentation: Newer Isn’t Always Better

  • Shunaha Kim-Fine
  • John A. Occhino
  • John B. GebhartEmail author
Female Stress Incontinence and Prolapse (R Dmochowski, Section Editor)


The purpose of this article is to update the female urology and urogynecologic community on the controversy regarding approaches to vaginal surgery for pelvic organ prolapse. We will review the salient issues in traditional, vaginal native-tissue (NT) repair for pelvic organ prolapse. We intend to provide arguments advocating vaginal NT repair over that of vaginal mesh-augmented (MA) repair, and to show that newer is not always better.


Pelvic organ prolapse Transvaginal mesh Pelvic surgery Vaginal surgery 



S. Kim-Fine: none; J.A. Occhino: none; J.B. Gebhart: Consultant for Ethicon Women’s Health & Urology, Coloplast, Astellas; Advisory Board of Boston Scientific, Research for AMS; Royalties from Elsevier/Up to Date, Board Member of AUGS, SGS.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Shunaha Kim-Fine
    • 1
  • John A. Occhino
    • 1
  • John B. Gebhart
    • 1
    Email author
  1. 1.Female Pelvic Medicine and Reconstructive Surgery, Division of Gynecologic SurgeryMayo ClinicRochesterUSA

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