case_images: PMC6351357_01
case_images: Most of the pelvic floor was closed with single knots, a small defect was left anterior to the urethra.
case_images: gr1.jpg
case_images: PMC6351357_01_gr1.jpg
case_images: fig0005
case_images: A significant part of the musculature of the pelvic floor was intact, and was closed with single knot Ethibond 2-0 sutures in a posterior to anterior direction, leaving a small defect anterior to the urethra (Fig. 1).
case_images: Mesh placement and subsequent fixation to the pelvic floor with single knots at 0, 90, 180 and 270 .
case_images: gr2.jpg
case_images: PMC6351357_01_gr2.jpg
case_images: fig0010
case_images: The mesh was circular with a 12-cm diameter, and was sutured to the muscles of the pelvic floor with four Ethibond single knots at 0, 90, 180 and 270  (Fig. 2).
case_images: The edge of the mesh was approximated to the peritoneum with a running suture.
case_images: gr3.jpg
case_images: PMC6351357_01_gr3.jpg
case_images: fig0015
case_images: The edge of the mesh was approximated to the peritoneum with running V-loc 3-0 sutures (Fig. 3).
case_images: Image of the hernia (a) preoperatively and (b) postoperatively at 3 months follow-up.
case_images: gr4.jpg
case_images: PMC6351357_01_gr4.jpg
case_images: fig0020
case_images: At the next follow-up visit at 3 months postoperative, the patient reported no bulging and experienced no symptoms (Fig. 4).