The ELEGANT Trial: Elevate Transvaginal Mesh vs. Anterior Colporrhaphy

Inclusion Criteria: * Women with symptomatic pelvic organ prolapse who opt for a vaginal repair * Require both apical and anterior compartment repairs * Willing to return for follow-up visit * Understand and have signed informed consent to undergo randomization * Need both an apical and anterior repair * All trial participants who have a uterus will require a hysterectomy Exclusion Criteria: * Known or suspected vulvodynia * Known or suspected interstitial cystitis * History of chronic pelvic pain * Current pregnancy * Desire to maintain fertility * History of reconstructive pelvic surgery with synthetic mesh * History of radical pelvic surgery * History of pelvic radiation therapy * Currently undergoing treatment for a malignancy * Medically poor candidates for surgery