Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Sex Med Rev. 2018 Jan;6(1):162-169. doi: 10.1016/j.sxmr.2017.05.005. Epub 2017 Jul 21.
The literature on perioperative pain control and management in inflatable penile prosthesis placement is not firmly established. Because inflatable penile prosthesis placement is an elective procedure, pain can be one of the many issues that influence patient decision making. Pain control also presents a unique challenge to providers in an era of widespread opiate abuse.
To review published data on pain management before, during, and after penile prosthetic surgery.
Peer-reviewed literature and conference abstracts were analyzed for all relevant publications related to this issue.
The past several decades have seen a shift from general to local anesthesia for penile prosthetic surgery. This has been well characterized and is seen as successful with different local anesthetic options and techniques. To date, only one study has provided follow-up for longer than 1 week regarding postoperative pain management for prosthetic surgery.
Perioperative pain management for the patient receiving a penile prosthetic is well characterized; postoperative pain management is not. Although periprocedural local anesthesia has been well described for penile prosthesis surgery, a standardized postoperative pain management plan does not exist. This review highlights the need for further characterization of postoperative pain and the subsequent development of an algorithmic approach for management. Reinstatler L, Shee K, Gross MS. Pain Management in Penile Prosthetic Surgery: A Review of the Literature. Sex Med Rev 2018;6:162-169.
充气式阴茎假体植入术中围手术期疼痛控制和管理的文献尚未确定。由于充气式阴茎假体植入术是一种选择性手术，疼痛可能是影响患者决策的众多因素之一。在阿片类药物滥用广泛的时代，疼痛控制也给提供者带来了独特的挑战。
回顾充气性阴茎假体手术前后的疼痛管理发表数据。
分析了与该问题相关的所有同行评议文献和会议摘要。
过去几十年，阴茎假体手术已从全身麻醉转变为局部麻醉。已经对其进行了很好的描述，并认为不同的局部麻醉选择和技术都很成功。迄今为止，只有一项研究就假体手术后的术后疼痛管理提供了超过 1 周的随访。
接受阴茎假体的患者的围手术期疼痛管理已得到很好的描述；术后疼痛管理则不然。尽管阴茎假体手术的围手术期局部麻醉已有很好的描述，但不存在标准化的术后疼痛管理计划。本综述强调了进一步描述术后疼痛的必要性，以及随后制定管理算法的必要性。
