Karolynn T. Echols

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OBJECTIVE To estimate the incidence and location of injury to the urinary tract during hysterectomy for benign gynecologic disease. METHODS This was a prospective clinical study in an academic environment performed at three sites. Diagnostic cystourethroscopy was performed on all patients after hysterectomy for benign disease. RESULTS Eight hundred(More)
OBJECTIVE To evaluate the incidence of urinary tract injury due to hysterectomy for benign disease. STUDY DESIGN Patients were enrolled prospectively from 3 sites. All patients undergoing abdominal, vaginal, or laparoscopic hysterectomy for benign disease underwent diagnostic cystourethroscopy. RESULTS Four hundred seventy-one patients participated.(More)
The purpose of this paper is to evaluate the results of sling procedures for stress incontinence after repair of vesicovaginal fistulae at the National Hospital in Niamey, Niger. This study is a retrospective chart review of 701 women surgically treated for vesicovaginal fistulae. One hundred forty women subsequently underwent a sling procedure for stress(More)
Our objective was to establish the overall graft erosion rate in a synthetic graft-augmented repair 3 months postoperatively. A retrospective chart review was performed on a cohort of subjects who underwent mesh-augmented vaginal reconstructive surgery during an 18-month period. We defined graft erosion as exposure of any mesh upon visual inspection of the(More)
Mycosis fungoides complicating pregnancy is rarely encountered. As it is a form of cutaneous T-cell lymphoma, some of the treatment options are contraindicated in pregnancy, and the disease may become unresponsive to safer conventional therapies. We report a patient who, in her third trimester of pregnancy, failed to respond to the treatment options(More)
OBJECTIVE To correlate levator ani contraction strength and genital hiatus measurements with surgical failure in prolapse. STUDY DESIGN This retrospective study involved chart review for documentation of levator contraction strength, genital hiatus measurement, and recurrent pelvic floor disorders in women who underwent surgery for prolapse. RESULTS The(More)
The aim of this study was to investigate the course of midurethral slings using tension-free vaginal tape. The TVT procedure was performed on six fresh pelves, measurements were obtained, and the structures were cross-referenced in 16 embalmed pelves. The midurethral sling enters the suburethral tissue 2.2–3 cm caudad to the internal urethral meatus,(More)
OBJECTIVE To assess the adequacy of a third- or a fourth-degree laceration repair by comparing digital and trans-perineal ultrasound measurements. METHOD During a 4-year period, 34 subjects without prior history of anal sphincter injury or fecal incontinence underwent ultrasound measurements of external anal sphincter muscle diameter and perineal length,(More)
The objective of the study was to assess vaginal mesh procedures and patient characteristics that are associated with postoperative urinary retention (PUR) following pelvic reconstructive surgery. The charts of 142 patients who underwent transvaginal reconstructive surgery with mesh were included in the analysis. Primary outcome was the incidence of PUR(More)
We report the case of a 65-year-old woman who developed a sinus tract after a suburethral synthetic silicone mesh sling placement. After removal of the sling material with debridement and reconstruction of the suburethral tissue, fascia lata harvest with a sling to abdominal rectus fascia was performed. Silicone mesh may erode to form a sinus tract if used(More)