Children Undergoing Outpatient Complex Penile Surgery, Hypospadias Repair May Not Require Opioid Analgesics
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In brief
In brief
Retrospective study of 3,998 pediatric penile surgeries examining opioid-free postoperative pain management. Patients discharged without opioids had higher rates of pain complaints and provider contact, with catheter presence and opioid omission as independent predictors of pain-related encounters.
Written by the GCMD Library team from the article.
Background/Purpose
: Pain control is important after penile surgery, and opioid use should be minimized as able. We sought to describe our experience performing complex penile surgeries with vs without post-operative opioids.
Methods
: A retrospective review of penile surgeries, including 3998 between 2009-2019. We identified patients 0.05). 59% of patients without opioids had an impromptu post-operative encounter vs 41%, and 20% had an associated pain complaint vs 9%(p=0.026). Two patients in both groups received delayed opioid prescription(p=1.00). The presence of a catheter (OR 2.9) and no opioid prescription (OR 2.6) were independent predictors for pain complaint.
Conclusions
: Patients discharged without an opioid were more likely to contact a provider postoperatively and were more likely to endorse pain complaint (number needed to treat: 9).