vaginal wall, with reattachment of the avulsed pubocervical fascia, proximally to the anterior cervix and laterally to the white line. Non-crosslinked xenograft splinting supports tension free healing. By restoring anatomy and supporting healing, restoration of function, specifically urinary and coital, should follow [2] with a reduction in compartment specific recurrence rates [3]. Methodology: Cases of primary anterior vaginal site-specific repair were obtained from three surgical databases. Those cases with follow up data were included. Follow up ranged from 6 weeks to 12 months. Rates of postoperative prolapse recurrence and effect on urinary and coital function were recorded. Results One-hundred and twenty-eight cases of primary anterior VSSR with follow up were included. Xenograft exposure occurred in two women, both treated as outpatients with trimming of the exposed graft. Symptomatic anterior recurrence occurred in 10.2% (13/128) of women during the follow up period, all of these recurrences occurred in women ≥50 years of age. Other compartment prolapse occurred in 7.8% (10/128). Urinary urgency resolved in 69.2% (18/26) of women with pre-exising urgency. There were 7 (5.5%) cases of de novo urgency. 70.8% (34/48) of sexually active women had preoperative coital dysfunction, this resolved in 21/22 (95.5%) who had resumed sexual activity. There were three cases of de novo sexual dysfunction. Conclusion: The short-term results for anterior VSSR are promising. There was no ongoing complication from the use of xenograft. This technique offers restoration of vaginal connective tissue supports with good anatomical and functional results. A large proportion of women had resolution of their urinary urge symptoms and dysparuenia. The rate of de novo urinary symptoms and dyspareunia was low. Ongoing follow up continues to assess longterm results.

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