Evidence-Based Recommendations for Opioid Prescribing After Endourological and Minimally Invasive Urological Surgery

Koo, Kevin; Winoker, Jared S.; Patel, Hiten D.; Faisal, Farzana A.; Gupta, Natasha; Metcalf, Maynard M.; Mettee, Lynda Z.; Meyer, Alexa; Pavlovich, Christian P.; Pierorazio, Philip; Matlaga, Brian R.

doi:10.1089/end.2021.0250

Cited by 13 publications

(9 citation statements)

References 24 publications

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“…2 The results suggest that diagnostic endoscopy and transurethral resection interventions do not recommend using opioids in the treatment plan along with minimally invasive urological surgeries as a different study concluded. 2,4 Despite recent encouraging results of decreased opioid prescriptions being fulfilled, we have witnessed an alarming amount of opioid related deaths and opioid misuse. For instance, in 2015 approximately 11.5 million Americans didn't responsibly use opioids with an estimated 1.9 million having an opioid disorder.…”

Section: Introductionmentioning

confidence: 90%

“…Furthermore, we will talk about the importance of the patient-provider relationship when it comes to prescribing opioids and the expected patient feelings post-operatively in terms of pain. 2,3 Another key aspect for our consideration regarding opioid usage in urology will be to discuss the potential for developing recommended courses of action for opioid administration for different specific urological procedure guidelines. 2 In fact, one study looking at different urological procedures noted that 11 out of the 16 procedures displayed a reduction in opioid use with the remaining 5 procedures expressing no change.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 Another key aspect for our consideration regarding opioid usage in urology will be to discuss the potential for developing recommended courses of action for opioid administration for different specific urological procedure guidelines. 2 In fact, one study looking at different urological procedures noted that 11 out of the 16 procedures displayed a reduction in opioid use with the remaining 5 procedures expressing no change. 2 The results suggest that diagnostic endoscopy and transurethral resection interventions do not recommend using opioids in the treatment plan along with minimally invasive urological surgeries as a different study concluded.…”

Section: Introductionmentioning

confidence: 99%

“…2 In fact, one study looking at different urological procedures noted that 11 out of the 16 procedures displayed a reduction in opioid use with the remaining 5 procedures expressing no change. 2 The results suggest that diagnostic endoscopy and transurethral resection interventions do not recommend using opioids in the treatment plan along with minimally invasive urological surgeries as a different study concluded. 2,4 Despite recent encouraging results of decreased opioid prescriptions being fulfilled, we have witnessed an alarming amount of opioid related deaths and opioid misuse.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Opioids in Urology: How Well Are We Preventing Opioid Dependence and How Can We Do Better?

Anderson

Cao

Zhou

et al. 2022

Health Psychology Research

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Urologic procedures (both open and minimally invasive) can cause pain due to the surgery itself, devices placed, and post-operative issues. Thus, pain management is important for every post-procedure recovery period. Opioid use post-surgery is common and often over-prescribed contributing to persistent use by patients. In this article, we review the extent of opioid use in pediatric urologic procedures, vasectomy, endourologic procedures, penile implantation, urogynecologic procedures, prostatectomy, nephrectomy, cystectomy, and scrotal/testicular cancer surgery. Generally, we have found that institutions do not have a standardized protocol with a set regimen to prescribe opioids, resulting in more opioids being prescribed than needed and patients not properly disposing of their unused prescriptions. However, many institutions recognize their opioid overuse and are implementing new multimodal opioid-sparing analgesics methods such as non-opioid peri-operative medications, minimally invasive robotic surgery, and nerve blocks or local anesthetics with varying degrees of success. By shedding light on these opioid-free methods and prescription protocols, along with improved patient education and counselling, we hope to bring awareness to institutions and decrease unnecessary opioid use.

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Section: Introductionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Opioids in Urology: How Well Are We Preventing Opioid Dependence and How Can We Do Better?

Anderson

Cao

Zhou

et al. 2022

Health Psychology Research

View full text Add to dashboard Cite

show abstract

“…Examples in our practice include low-contrast studies or noncontrast alternatives to preserve iohexol supply for emergent procedures, or multimodal nonopioid regimens to address symptomatic bladder spasms after surgery. 5 Taken together, the present review 6 and the threat of contemporary shortages underscore the importance of maintaining a diverse range of diagnostic approaches and therapeutic options to ensure our patients’ access to timely, effective urological care.…”

mentioning

confidence: 92%