Postoperative pain control after urethroplasty: an opportunity for non-opioid pain management

Leong, Joon Yau; Kommareddy, Kapila; Chung, Paul H.

doi:10.21037/tau-22-643

Cited by 3 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous studies have described nonopioid pain management strategies as well as noted the incidence of opioid-free discharges for patients undergoing urethroplasty. [5][6][7] These studies provide insightful feedback into optimal pain control approach, but do not characterize the impact on the health care system as a whole. Additionally, many surgeons are now utilizing same-day discharge strategies for their urethroplasties.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 While studies have shown the feasibility of opioid-free discharges in patients undergoing urethroplasty, no largescale studies have yet to examine outcomes on the health care system in a systematic way. [5][6][7] The existing literature suggests that a nonopioid strategy does not increase patient pain in the postoperative setting. 6 With data suggesting that patient pain is well controlled without opioids, it is important to understand patient interaction with the health care system in the period following discharge.…”

mentioning

confidence: 99%

“…[5][6][7] The existing literature suggests that a nonopioid strategy does not increase patient pain in the postoperative setting. 6 With data suggesting that patient pain is well controlled without opioids, it is important to understand patient interaction with the health care system in the period following discharge. Providers have historically been concerned about postoperative pain not only for patient comfort but also to ensure that patients do not have an undue burden on the office in the postoperative setting due to poor pain control.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Patient Interaction With the Health Care System Following a Nonopioid Discharge Strategy for Anterior Urethroplasty

Myrga,

Klein,

Staniorski

et al. 2024

Urology Practice

View full text Add to dashboard Cite

Introduction:Continued efforts have been made to minimize postoperative opioids following urologic interventions. Studies show that patient-reported pain outcomes are similar between those patients discharged with and without opioids following anterior urethroplasty, but we do not know what impact this has on health care utilization. We aim to show that a nonopioid discharge following anterior urethroplasty does not increase postoperative health care utilization.Methods:Five hundred patients who underwent anterior urethroplasty from January 2016 to October 2022 were identified from retrospective chart review. Patient demographic information, surgical characteristics, and postoperative interactions with the health care system were extracted from the electronic medical record. We then compared these outcomes by discharge opioid prescription status.Results:A total of 253 patients were discharged without an opioid prescription. Patients who received an opioid were more likely to have had a perineal incision (73% vs 64%, P = .02), more likely to have had an overnight hospital stay (30% vs 14%, P < .01), and were more likely to have been prescribed an opioid preoperatively (13% vs 7%, P = .03). There were overall low rates of interaction with the health system in both groups with no significant difference in 30-day unplanned office visits, emergency department visits, or office phone calls. Overall, by the end of our study period 97% were discharged without an opioid and 94% of patients were discharged the same day.Conclusions:Patients undergoing anterior urethroplasty can safely be discharged home without opioids following surgery without undue postoperative burden on the health care system.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Patient Interaction With the Health Care System Following a Nonopioid Discharge Strategy for Anterior Urethroplasty

Myrga,

Klein,

Staniorski

et al. 2024

Urology Practice

View full text Add to dashboard Cite

show abstract

“…Through appropriate patient counseling, these patients rarely required opioid medications and their pain levels remained objectively low. 2 More recently, we have streamlined our MMA regimen to just acetaminophen and meloxicam, excluding gabapentin. 3 Although anecdotal, we have yet to observe any postoperative increase in requests or refills for opioid medications in this patient population.…”

mentioning

confidence: 99%