Effects of Preoperative Dexamethasone Study on QOL After Vaginal Reconstructive Surgery for POP

Inclusion Criteria: * Women aged 18-81 years old who are scheduled to undergo a major vaginal reconstructive surgery, including hysterectomy with or without hysterectomy Exclusion Criteria: * Daily use of steroids or antiemetic agents such as Zofran, Reglan, Compazine and Phenargan within one month of surgery * Regional anesthesia for surgical procedure * Chronic pain requiring opioid treatment daily * History of allergy to the study medication * Severe renal and liver disease * Pregnancy * Non English speaking * Psychiatric disorder that will preclude completion of questionnaires * Minor surgery that does not involve overnight admission * Surgery that does not involve hysterectomy or vaginal intraperitoneal apical suspension * Hypersensitivity reaction to steroids * Evidence of systemic fungal infection * Evidence of any systemic infection * Uncontrolled diabetes