title: Effect of surgical approach on physical activity and pain control after sacral colpopexy.
abstract: OBJECTIVE
  We sought to compare recovery of activity and pain control after robotic (ROB) vs abdominal (ABD) sacral colpopexy.
  
  
  METHODS
  Women undergoing ROB and ABD sacral colpopexy wore accelerometers for 7 days preoperatively and the first 10 days postoperatively. They completed postoperative pain diaries and Short Form-36 questionnaires before and after surgery.
  
  
  RESULTS
  At 5 days postoperatively, none of the 14 subjects in the ABD group and 4 of 28 (14.3%) in the ROB group achieved 50% total baseline activity counts (P = .283). At 10 days, 5 of 14 (35.7%) in the ABD group and 8 of 26 (30.8%) in the ROB group (P = .972) achieved 50%. Postoperative pain was similar in both groups. Short Form-36 vitality scores were lower (P = .017) after surgery in the ABD group, but not in the ROB group.
  
  
  CONCLUSIONS
  Women undergoing ROB vs ABD sacral colpopexy do not recover physical activity faster, and pain control is not improved.
authors.affiliation: Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford Hospital, University of Connecticut Health Center, Hartford, CT, USA.
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Collins
authors.forename: Paul K
authors.initials: PK
authors.lastname: Tulikangas
authors.forename: David M
authors.initials: DM
authors.lastname: O'Sullivan
mesh_terms: D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D009043:Motor Activity; D009294:Narcotics / Q000627:therapeutic use; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D020127:Recovery of Function; D012371:Robotics; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*
chemical_list: D009294:Narcotics