Whether you feel you would like to avoid mesh or not, please make sure to discuss with your surgeon the likelihood that your prolapse will reoccur after your surgery. In my case, I had the mesh because the 3 top urogynecologists in Austin, TX all recommended sacrocolpopexy using the Da Vinci robot and this procedure uses mesh. I was terrified of it at first and delayed my surgery for many months for this reason. I discussed with all of them why they wanted to use the mesh and they all talked with me about the condition of my ligaments (very weak) and the extent of my prolapse (stage 4). Both of these situations made it almost certain that a simple ligament repair would likely not be lasting and that in a few years there was a high probability that I would have to undergo another surgery to repair the prolapse all over again. So just please make sure that you discuss how extensive your prolapse is (what stage it is) and the condition of your ligaments (whether they can be repaired in such a way that there is a good chance they will hold). I am sure we all hope that if we have to have this, that we only have to do it once. In my experience most of the more experienced doctors do use mesh but if you are predisposed against mesh as I was initially, please just ask these 2 important questions. Once I realized that the mesh used today was not the mesh we hear about in the lawsuits and that doing the surgery without it would likely result in me having the prolapse reoccur, I opted for the mesh and the surgery I have previously described in this forum. I have not had any issues and am so glad I had the surgery. Not trying to convince anyone that mesh is the way to go, just suggesting some questions to ask your surgeon before proceeding with or without mesh.
Best to all.