Turgal 2013

Methods	Parallel‐group RCT
Participants	Inclusion: grade 2 or 3 cystocele Exclusion: urinary incontinence, previous gynaecological operation, concomitant rectocele or enterocele, recurrent cystocele
Interventions	Polypropylene mesh surgery (20 women) vs AC (20 women)
Outcomes	Assessed at 6 weeks, 6 months, 1 year Reports the following review outcomes at 1 year: Awareness of prolapse (bulging) 5/20 vs 1/20 Repeat prolapse (> stage 1 on examination) 1/20 vs 5/20 Mesh erosion n = 3 Surgery for mesh erosion n = 3 Operating time 44 ∓ 5 21 ∓ 2 De novo urinary incontinence 0/20 vs 2/20 Days in hospital: reports means but no SDs
Notes
Risk of bias
Bias	Authors' judgement	Support for judgement
Random sequence generation (selection bias)	Low risk	"Allocated by computer programme"
Allocation concealment (selection bias)	Unclear risk	Method not described
Blinding of participants and personnel (performance bias) All outcomes	Unclear risk	Blinding not mentioned
Blinding of outcome assessment (detection bias) All outcomes	Unclear risk	Blinding not mentioned
Incomplete outcome data (attrition bias) All outcomes	Unclear risk	All 40/40 randomised women were included in analysis
Selective reporting (reporting bias)	Low risk	Reports main review outcomes
Other bias	Low risk	Reports "no conflict of interest". No other potential bias identified