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An opioid prescription for men undergoing minor urologic surgery is associated with an increased risk of new persistent opioid use

European Urology Dec 19, 2019

Welk B, et al. - Using linked administrative data from Ontario, Canada, researchers conducted a retrospective cohort study to ascertain if filling a postoperative opioid prescription after low acuity urologic surgery was correlated with new persistent opioid use. Between 2013 and 2016, they included adults who had their first vasectomy, transurethral prostatectomy, urethrotomy, circumcision, spermatocelectomy, or hydrocelectomy. According to results, 91,083 men were identified, most of whom had vasectomy. In total, 32,174 men filled a prescription for an opioid after their procedure. Codeine was the most common opioid prescribed, and the primary prescribers were urologists. Opioid prescribing is substantially related to increased opioid use at 1 year after surgery following low acuity urology procedures. Efforts should be made to decrease postoperative opioids, particularly for urologic procedures that typically do not involve opioids.
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