Difference in Pain, Quality of Life Following Vaginal Hysterectomy With Vaginal Reconstruction Versus Robotic Colpopexy?

Inclusion Criteria: * patients of Cincinnati Urogynecology Associates * aged 18-90 * planning to undergo a vaginal hysterectomy with robotic or vaginal reconstructive surgery for pelvic organ prolapse as well as a posterior/rectocele repair, with or without a suburethral sling or ovarian removal. * undergoing general anesthesia * able to speak and read English * able to understand the informed consent statement Exclusion Criteria: * scheduled for repairs not involving a hysterectomy * use of mesh in the vaginal prolapse repair * obliterative procedures to the vagina * concurrent removal of a suburethral sling * anterior, posterior or apical vaginal mesh kit at the time of their surgery * performance of vaginal 'relaxing incisions' at the time of vaginal surgery * concurrent anal incontinence repair such as a sphincteroplasty * presence of uterine, cervical or ovarian malignancy * use of regional anesthesia for their surgery.