“…Surgical reconstruction of the pelvic diaphragm is usually recommended for PH repair. Surgical techniques including simple muscle apposition, muscle flap transposition (internal obturator muscle, superficial gluteal muscle, semitendinosus muscle) ( Mortari et al., 2005 ; Morello et al., 2015 ) and the use of implants or graft techniques (synthetic mesh, porcine small intestinal submucosa, canine small intestinal submucosa, autologous tunica vaginalis) have been described to treat PH ( Stoll et al., 2002 ; Tanaka et al., 2004 ; Szabo et al., 2007 ; Lee et al., 2012 ; Pratummintra et al., 2013 ; Guerios, et al., 2017 ). Some reports recommend a combination of colopexy, vasopexy and/or cystopexy, and perineal herniorrhaphy due to severe displacement of organs ( Gilley et al., 2003 ; Brissot et al., 2004 ).…”