Anterior Colporrhaphy versus Transobturator mesh repair system for anterior vaginal wall prolapse - A Randomised Controlled Trial

INTERVENTION: Transobturator mesh repair system. This repair system has a soft polypropylene mesh in the middle with 4 limbs of high friction mesh( 2 superior and 2 inferior ). 2 limb per obturator foremen. This is a surgical procedure Subjects undergoes only one procedure. CONDITION: Vaginal wall prolapse‐ Cystocoele PRIMARY OUTCOME: Recurrence of stage 2 or more cystocoele using the Pelvic Organ Prolapse Quantification (POP‐Q) grading. SECONDARY OUTCOME: Complications: ; Intraoperative complication reported/noted by the operator and postoperative problems reported by the patient or noted by the reviewing doctor at follow up. Hospital stay Operating time Quality of life using the King's Health and Bristol Female Lower urinary Tract symptoms Questionnaires. INCLUSION CRITERIA: Women presenting with stage 2 or more bladder prolapse (cystocele) and who desire reconstructive surgery, older than 18 yrs, available for follow up for 3 yrs, able to give informed consent