Effect of surgical approach on physical activity and pain control after sacral colpopexy

Published:February 10, 2012DOI:


      We sought to compare recovery of activity and pain control after robotic (ROB) vs abdominal (ABD) sacral colpopexy.

      Study Design

      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.


      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.


      Women undergoing ROB vs ABD sacral colpopexy do not recover physical activity faster, and pain control is not improved.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to American Journal of Obstetrics & Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Loos M.J.
        • Scheltinga M.R.
        • Mulders L.G.
        • Roumen R.M.
        The Pfannenstiel incision as a source of chronic pain.
        Obstet Gynecol. 2008; 111: 839-846
        • Paraiso M.F.
        • Jelovsek J.E.
        • Frick A.
        • Chen C.C.G.
        • Barber M.D.
        Laparoscopic compared with robotic sacrocolpopexy for vaginal prolapse: a randomized controlled trial.
        Obstet Gynecol. 2011; 118: 1005-1013
        • Paraiso M.F.
        • Walters M.D.
        • Rackley R.R.
        • Melek S.
        • Hugney C.
        Laparoscopic and abdominal sacral colpopexies: a comparative cohort study.
        Am J Obstet Gynecol. 2005; 192: 1752-1758
        • Patel M.
        • O'Sullivan D.
        • Tulikangas P.K.
        A comparison of costs for abdominal, laparoscopic, and robot-assisted sacral colpopexy.
        Int Urogynecol J Pelvic Floor Dysfunct. 2009; 20: 223-228
        • Rosen M.
        • Garcia-Ruiz A.
        • Malm J.
        • Mayes J.T.
        • Steiger E.
        • Ponsky J.
        Laparoscopic hernia repair enhances early return of physical work capacity.
        Surg Laparosc Endosc Percutan Tech. 2001; 11: 28-33
        • Inoue Y.
        • Kimura T.
        • Fujita S.
        • et al.
        A new parameter for assessing postoperative recovery of physical activity using an accelerometer.
        Surg Today. 2003; 33: 645-650
        • Inoue Y.
        • Kimura T.
        • Noro H.
        • et al.
        Is laparoscopic colorectal surgery less invasive than classical open surgery?.
        Surg Endosc. 2003; 17: 1269-1273
        • Patterson S.M.
        • Krantz D.S.
        • Montgomery L.C.
        • Duester P.A.
        • Hedges S.M.
        • Nebel L.E.
        Automated physical activity monitoring: validation and comparison with physiological and self-report measures.
        Psychophysiology. 1993; 30: 296-305
        • Bisgaard T.
        • Kjaersgaard M.
        • Bernhard A.
        • Kehlet H.
        • Rosenberg J.
        Computerized monitoring of physical activity and sleep in postoperative abdominal surgery patients.
        J Clin Monit Comput. 1999; 15: 1-8
        • Ware Jr, J.E.
        SF-36 health survey update.
        (Accessed Oct. 30, 2008.)
        • Wasowicz-Kemps K.D.
        • Slootmaker S.M.
        • Kemps H.M.C.
        • Borel-Rinkes I.H.M.
        • Biesma D.H.
        • van Ramshorst B.
        Resumption of daily physical activity after day-case laparoscopic cholecystectomy.
        Surg Endosc. 2009; 23: 2034-2040
        • Holzer A.
        • Jirecek S.T.
        • Illievich U.M.
        • Huber J.
        • Wenzl R.J.
        Laparoscopic versus open myomectomy: a double-blind study to evaluate postoperative pain.
        Anesth Analg. 2006; 102: 1480-1484
        • Ozalevli S.
        • Ozden A.
        • Itil O.
        • Akkoclu A.
        comparison of the sit-to-stand test with 6 min walk test in patients with chronic obstructive pulmonary disease.
        Respir Med. 2007; 191: 286-293
        • Ali N.A.
        • O'Brien J.M.
        • Hoffmann S.P.
        • et al.
        Acquired weakness, handgrip strength, and mortality in critically ill patients.
        Am J Respir Crit Care Med. 2008; 178: 261-268
        • Montoye H.J.
        The Harvard step test and work capacity.
        Rev Can Biol. 1953; 11: 491-499