Opioid Prescription and Use in Sacral Neuromodulation, Mid Urethral Sling and Pelvic Organ Prolapse Surgery: An Educational Intervention to Avoid Over Prescribing

Interventions to Reduce Opioid Prescriptions following Urological Surgery: A Systematic Review and Meta-Analysis

“…10–32 Direct interventions to reduce opioid prescriptions were evaluated in 16 studies 11,12,14,15,18–21,25–29,31 (7,086 patients), while 6 studies 10,13,16,24,30,32 (1,818 patients) evaluated the effects of various indirect interventions. In 12 studies, 10,11,14,16,19,21,24–26,29,30,32 the procedures were categorized as major surgery, while 7 studies 12,13,18,20,22,23,27 included minor procedure and 3 studies 16,28,31 included both. All studies were either case-control or cohort studies, and there were no reports from randomized controlled trials.…”

Opioid Prescribing and Utilization Following Isolated Mid-Urethral Sling

“…These subjects were prescribed significantly higher amounts of opioids than they ingested postoperatively. Another study involving a provider educational initiative found a 46.3% reduction in postoperative opioid prescribed following intervention, with no decrease in patient satisfaction between 10 retrospective patients and 21 prospective patients interviewed [ 17 ]. Our results add further evidence that isolated MUS patients can achieve satisfactory pain control with no or small quantities of opioid.…”

“…Previous studies have analyzed optimal opioid prescribing following surgery across many specialties [10][11][12][13][14][15][16][17][18][19]. Within Obstetrics and Gynecology, multiple procedures including hysterectomies, pelvic organ prolapse reconstruction, and cesarean section have been examined to characterize typical post-operative opioid prescribing and usage practices [10][11][12][13][14][15][16][17][18][19].…”

“…Previous studies have analyzed optimal opioid prescribing following surgery across many specialties [10][11][12][13][14][15][16][17][18][19]. Within Obstetrics and Gynecology, multiple procedures including hysterectomies, pelvic organ prolapse reconstruction, and cesarean section have been examined to characterize typical post-operative opioid prescribing and usage practices [10][11][12][13][14][15][16][17][18][19]. Mid-urethral sling (MUS) placement is the most commonly performed procedure for stress urinary incontinence (SUI) with more than three million placements worldwide since introduction to the market [20][21][22][23].…”

“…Mid-urethral sling (MUS) placement is the most commonly performed procedure for stress urinary incontinence (SUI) with more than three million placements worldwide since introduction to the market [20][21][22][23]. However, there is currently limited data on opioid usage following MUS placement [12,17]. This study examines the use of postoperative opioids vs. the amount prescribed following isolated MUS placement and presents a model for optimization of prescribing practices.…”