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Odds ratios and 95% CI were calculated using random\u2010effects models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>Twenty comparative studies were included. The meta\u2010analysis was performed with subgroups. The summary odds ratios of the randomised controlled group were 1.84 (95% CI 0.79\u20134.29, <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a075%) for anatomical success, 1.41 (95% CI 0.47\u20134.24, <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a038%) for subjective success, 0.42 (95% CI 0.18\u20130.98, <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00%) for mesh complications, 0.61 (95% CI 0.20\u20131.91, <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00%) for prolapse reoperation and 0.44 (95% CI 0.23\u20130.88, <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00%) for de novo dyspareunia. The mean differences were 0.77 (95% CI 0.31\u20131.23, <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a066%) for total vaginal length and \u22121.28 (95% CI \u22122.00 to \u22120.55, <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a066%) for point C after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Very\u2010low\u2010quality evidence indicated that the anatomical and subjective success rates of sacrocolpopexy were similar to those of transvaginal mesh surgery; sacrocolpopexy might be more beneficial than transvaginal mesh surgery in terms of mesh\u2010related complication rates, prolapse recurrence and de novo dyspareunia. However, additional high\u2010quality randomised trials with long\u2010term follow\u2010up durations are needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Sacrocolpopexy is beneficial after surgical anatomical changes and has decreased rates of mesh\u2010related complications and dyspareunia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.16324","type":"journal-article","created":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T12:47:01Z","timestamp":1589892421000},"page":"14-23","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Sacrocolpopexy compared with transvaginal mesh surgery: a systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8166-0569","authenticated-orcid":false,"given":"C\u2010Y","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology 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