Department of Urology, Einstein Healthcare Network, 1200 Tabor Road, Moss/3 Sley, Philadelphia, PA, 19141, USA.
Chesapeake Urology, Silver Spring, MD, 20906, USA.
Curr Urol Rep. 2021 Feb 3;22(3):17. doi: 10.1007/s11934-021-01033-1.
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.
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.
回顾最近有关使用阿片类药物节约型多模式镇痛策略来管理接受可膨胀 penile 假体 (IPP) 手术患者围手术期疼痛的文献，并为 penile 植入物外科医生提供各种基于非阿片类药物的 IPP 管理疼痛管理策略。
术前、术中、术后各个阶段实施的干预措施均能有效降低疼痛评分和减少阿片类药物的使用。IPP 手术中实施的某些手术技术有助于减轻患者术后的不适。从其他外科领域和其他泌尿科亚专科采用的多模式镇痛 (MMA) 方案在 IPP 手术后的疼痛控制和阿片类药物的使用方面取得了有希望的结果。实施精细手术技术和多模式镇痛相结合的方案为接受 IPP 手术的患者带来了显著的益处。需要进一步的工作来评估使用这些创新策略接受 IPP 手术的患者的长期疼痛控制和阿片类药物的使用情况。
