Ali 2006

Methods	Single‐centre RCT Inclusion grade 3 or 4 cysto‐urethrocele (BW halfway system) No exclusion No power Randomisation and concealment, blinding not stated 6/12 follow‐up
Participants	No CONSORT N = 108 Inclusion: women with grade 3 or 4 cysto‐urethrocele (BW halfway system) There were no significant differences between the groups regarding preoperative storage symptoms, urodynamics, and degree of prolapse
Interventions	A (54): anterior colporrhaphy alone B (54): anterior colporrhaphy with tension‐free polypropylene (Gynemesh PS) overlay
Outcomes	Assessed at 6 months' postop Reports the following review outcomes: Recurrent prolapse (anterior compartment) at 6 months Objective failure of anterior compartment at 6 months (grade 2 or worse anterior wall prolapse) Mesh erosion
Notes
Risk of bias
Bias	Authors' judgement	Support for judgement
Random sequence generation (selection bias)	Unclear risk	Not stated
Allocation concealment (selection bias)	Unclear risk	Not stated
Blinding of participants and personnel (performance bias) All outcomes	Unclear risk	Not stated
Blinding of outcome assessment (detection bias) All outcomes	Unclear risk	Not stated
Incomplete outcome data (attrition bias) All outcomes	High risk	At 6 months, group A 43/54, group B 46/54; greater than 15% loss to follow‐up at 6 months
Selective reporting (reporting bias)	Unclear risk	Did not report any of the primary outcomes of this review; only has 6 months' follow‐up
Other bias	Unclear risk	No statement about funding