Women with advanced pelvic organ prolapse and levator ani muscle avulsion would significantly benefit from the use of mesh repair surgery.

Mesh repair surgery, compared with native tissue repair, significantly lowers the objective and subjective recurrence for women with stage III or IV POP by 6-fold and 5-fold. In women also with LAM avulsion, both objective and subjective recurrence reduces by 4-fold. Mesh complications rate was low and could be treated conservatively or by minor surgery. The benefit of mesh surgery for these high risk women appears to outweigh the risks of mesh complications and it could be an option for this group of women. This article is protected by copyright. All rights reserved.