Paracervical block in vaginal hysterectomy for prolapse

The purpose of this study is to determine if performing a paracervical block, or placing local anesthetic around the cervix, at the time of vaginal hysterectomy and prolapse repair reduces the amount of opioid medications that patients need and pain that patients feel after surgery. Even short term use of opioid medications can be associated with side effects such as constipation, nausea, somnolence, or dependence.