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Pain Management Strategies in Contemporary Penile Implant Recipients

  • Men's Health (R Carrion, Section Editor)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

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.

Summary

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.

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Author information

Authors and Affiliations

  1. Department of Urology, Einstein Healthcare Network, 1200 Tabor Road, Moss/3 Sley, Philadelphia, PA, 19141, USA

    Jeffrey L. Ellis, Jessica J. Pryor & Jay Simhan

  2. Chesapeake Urology, Silver Spring, MD, 20906, USA

    Melissa Mendez

  3. Perito Urology, Coral Gables, FL, 33146, USA

    Alfredo Suarez Sarmiento & Paul Perito

  4. Division of Urologic Oncology, Fox Chase Cancer Center, Philadelphia, PA, 19111, USA

    Jay Simhan

Authors
  1. Jeffrey L. Ellis
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  2. Jessica J. Pryor
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  3. Melissa Mendez
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  4. Alfredo Suarez Sarmiento
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  5. Paul Perito
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  6. Jay Simhan
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Corresponding author

Correspondence to Jay Simhan.

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Conflict of Interest

Dr. Ellis, Ms. Pryor, Dr. Mendez, and Dr. Suarez-Sarmiento, Jr. have no conflicts of interest to disclose.

Dr. Simhan and Dr. Perito are consultants for both Boston Scientific and Coloplast.

Human and Animal Rights and Informed Consent

All reported studies/experiments with human or animal subjects performed by the authors were performed in accordance with all applicable ethical standards including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines.

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Ellis, J.L., Pryor, J.J., Mendez, M. et al. Pain Management Strategies in Contemporary Penile Implant Recipients. Curr Urol Rep 22, 17 (2021). https://doi.org/10.1007/s11934-021-01033-1

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  • DOI: https://doi.org/10.1007/s11934-021-01033-1

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