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Using various power settings of monopolar energy may not make a significant difference in swine vaginal tissue damage at the time of colpotomy. However, there was a significant difference in the times and rates at which tissue was transected when using higher powers. We recommend using the 50- or 80-W setting, as this will likely decrease surgical times without altering vaginal tissue damage.

duration (40.31 minutes versus 49.53 minutes, p-value = .110) and lower total pain MME (15.25 versus 24.85, p-value = .087). Higher uterine weights had slightly longer procedure time (0.118 minutes per gram, p-value < .001). Other surgical outcomes were not statistically significant. Conclusion: Eliminating tissue power morcellation in urogynecologic patients is safe and effective. With the exception of slight increase in procedure time and pain MME, there is no other significant increase in morbidity.