Enhanced recovery strategies after penile implantation: A narrative review

Jeffrey L. Ellis, Architha Sudhakar, Jay Simhan

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Optimizing pain management strategies in penile implantation has historically been a challenge to urologists assuming care of patients post-operatively. In addition to the complex pathophysiology of male genital pain, the responsibility of opioid stewardship in the face of the ongoing narcotics epidemic presents its own set of challenges to experienced implanters. Recent innovations in pre- and intra-operative analgesia have provided some improvement in patient-reported pain outcomes. When used together in protocols spanning each phase of operative care, multimodal analgesia (MMA) regimens provide superior patient pain control and successfully decrease opioid usage compared to traditional opioid-based pain control. This review will systematically present literature that discusses interventions in the preoperative and intraoperative spaces aimed at optimally controlling pain. We will also highlight surgical techniques that have been demonstrated to help ameliorate post-operative pain in penile implant recipients. We will discuss the impact of MMA protocols across urology and further explore its larger impact on reducing opioid burden in the ongoing epidemic.

Original languageEnglish
Pages (from-to)2648-2657
Number of pages10
JournalTranslational Andrology and Urology
Volume10
Issue number6
DOIs
StatePublished - Jun 2021

Keywords

  • Enhanced recovery after surgery (ERAS)
  • Inflatable penile prosthesis (IPP)
  • Multimodal analgesia (MMA)
  • Opioid use
  • Pain management

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