@article{article_1627590, title={Pubourethral ligament reconstruction for stress urinary ıncontinence: A case series}, journal={Ege Tıp Dergisi}, volume={64}, pages={42–44}, year={2025}, DOI={10.19161/etd.1627590}, url={https://izlik.org/JA53FJ72HM}, author={Tayarer, Aybüke}, keywords={Puboüretral ligaman, puboüretral ligaman polyester onarımı, stres üriner inkontinans cerrahisi}, abstract={Stress urinary incontinence (SUI) is characterized by involuntary urine leakage during physical activities and is commonly treated with midurethral slings (MUS). However, complications associated with MUS have led to the exploration of alternative surgical techniques. This retrospective study included 11 patients who underwent pubourethral ligament (PUL) plication without mesh for SUI between January 1 and September 1, 2024. Data on age, parity, menopausal status, and body mass index (BMI) were analyzed. The surgical technique involved a paraurethral incision approximately 2 cm below the urethra, with No. 2 polyester sutures placed at the medial and lateral portions of the PUL. Patients were evaluated using the cough stress test before discharge and on postoperative days 7 and 30. The mean age was 47.8 ± 8.13 years, and the mean BMI was 30.2 kg/m². Menopausal distribution included reproductive (n=2), perimenopausal (n=6), and postmenopausal (n=3) patients. At all follow-up points, 10 out of 11 patients (90.9%) showed complete resolution of SUI symptoms. No intraoperative or major postoperative complications were reported. In conclusion, mesh-free PUL plication demonstrated high short-term efficacy in SUI treatment. Further randomized controlled trials are needed to assess long-term outcomes and compare this approach with other surgical techniques.}, number={Özel Sayı: 1 (11. Ulusal Ürojinekoloji Kongresi Bildiri Kitapçığı)}