OPERATIVE REPORT Patient Name: Kathy Sullivan Patient ID: 11525 DOB: 08/16/- - - Age: 52 Sex: F

Date of Admission: 06/25/- - - Date of Procedure: 06/25/- - - Admitting Physician: Taylor Withers, MD Surgeon: Sang Lee, MD Assistant: Taylor Withers, MD Preoperative Diagnosis: Urinary incontinence secondary to cystourethrocele. Postoperative Diagnosis: Urinary incontinence secondary to cystourethrocele. Operative Procedure: Total abdominal hysterectomy with suspension correction. Anesthesia: General endotracheal. Specimen Removed: None. IV Fluids: 900 mL crystalloid. Estimated Blood Loss: Negligible. Urine Output: 100 mL by Foley catheter. Complications: None. DESCRIPTION: After an abdominal hysterectomy had been performed by Dr. Withers, the peritoneum was closed by him and the procedure was turned over to me. (Continued)

Mytuyet Huynh

6/21/2012

OPERATIVE REPORT Patient Name: Kathy Sullivan Patient ID: 11525 Date of Procedure: 06/25/- - - Page 2

At this time the supravesical space was entered. The anterior portions of the bladder and urethra were dissected free by blunt and sharp dissection. Bleeders were clamped and electrocoagulated as they were encountered. A wedge of the overlying periosteum was taken and roughened with a bone rasp. The urethra was then attached to the overlying symphysis by placing 2 No. 1 catgut sutures on each side of the urethra and 1 in the bladder neck. The urethra and bladder neck pulled up to the overlying symphysis bone very easily with no tension on the sutures. Bleeding was controlled by pulling the bladder neck up to the bone. Penrose drains were placed on each side of the vesical gutter. Blood loss was negligible. The procedure was then turned back over to the Dr. Withers, who proceeded with closure.

____________________ Sang Lee, MD SL:MH D:06/25/- - - T:06/26/- - - -

Mytuyet Huynh

6/21/2012