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Ellis JL , Pryor JJ , Mendez M , Sarmiento AS , Perito P , Simhan J
Pain Management Strategies in Contemporary Penile Implant Recipients
Curr Urol Rep. 2021 Feb 3;22(3) :17
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PURPOSE OF REVIEW: To review the most recent literature citing opioid-sparing multimodal analgesic strategies used to manage perioperative pain in patients who underwent inflatable penile prosthesis (IPP) surgery and to provide the penile implant surgeon a variety of non-opioid-based pain management strategies for IPP management. RECENT FINDINGS: Interventions performed in the pre-operative, intraoperative, and post-operative arenas have all been shown to effectively lower pain scores and reduce opioid consumption. Certain surgical techniques performed during IPP surgery have helped with post-operative discomfort patients may feel after surgery. Multimodal analgesia (MMA) protocols adopted from other surgical fields and other urologic subspecialties that are implemented in IPP surgery have promising results with regard to post-operative pain control and opioid consumption. Protocols that implement a combination of refined surgical technique and multimodal analgesia offer substantial benefit to patients undergoing IPP surgery. Further work is needed to assess long-term pain control and opioid use in patients that undergo IPP surgery using these innovative strategies.
1534-6285 Ellis, Jeffrey L Orcid: 0000-0002-6916-3065 Pryor, Jessica J Mendez, Melissa Sarmiento, Alfredo Suarez Perito, Paul Simhan, Jay Journal Article Review United States Curr Urol Rep. 2021 Feb 3;22(3):17. doi: 10.1007/s11934-021-01033-1.