Opioid Use after Pediatric Urologic Surgery: Is It Really Needed?

Carolan, Alexandra; Parker, Kelly M.; Grimsby, Gwen M.

doi:10.1016/j.urology.2021.04.012

Cited by 9 publications

(7 citation statements)

References 12 publications

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“…Ultimately, the study also concluded that following pediatric urologic surgery, opioids are not always necessary for each patient. 13,15 To further address the opioid crisis: increased formal education, better practice guidelines on prescribing opioids, and an improved patient-provider relationship could further positively impact the current opioid crisis.…”

Section: Discussionmentioning

confidence: 99%

“…14 In a study to analyze opioid prescribing practices between 2018 and 2019, the results expressed a significant drop in the prescribing and administering of opioids. 15 In 2018 61% of patients were prescribed opioids compared to 34% in 2019. Of the patients prescribed opioids, 55% and 28% respectively utilized the opioids between each year.…”

Section: Opioids In Pediatric Urologymentioning

confidence: 99%

“…Of the patients prescribed opioids, 55% and 28% respectively utilized the opioids between each year. 15 The study also mentions that halfway into the project the progress was discussed within the urology department with the goal to lower opioid prescribing in 2019. This assists the point of addressing and educating not only patients but providers towards safer practice of medicine specifically in appropriate opioid prescribing.…”

Section: Opioids In Pediatric Urologymentioning

confidence: 99%

“…This assists the point of addressing and educating not only patients but providers towards safer practice of medicine specifically in appropriate opioid prescribing. 15 Lastly, a prospective study was conducted to analyze opioid use in pediatric urologic surgeries. Of a patient population of 202, an opioid prescription was distributed to each patient with 10 available doses.…”

Section: Opioids In Pediatric Urologymentioning

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: Discussionmentioning

confidence: 99%

Section: Opioids In Pediatric Urologymentioning

confidence: 99%

Section: Opioids In Pediatric Urologymentioning

confidence: 99%

Section: Opioids In Pediatric Urologymentioning

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

“…Despite increased adoption of opioid-sparing protocols in young children undergoing surgery, opioid prescribing patterns in preteen and adolescent children remain mixed. 1-3 Peripheral nerve blocks using injectable local anesthetics mitigate postoperative pain and reduce the need for opiate medication. 4 When administered preoperatively, peripheral nerve blockade decreases intraoperative opioid use and reduces pain sensitization, leading to decreased postoperative hyperalgesia.…”

mentioning

confidence: 99%