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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Related Experiment Video

Updated: Oct 9, 2025

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Opioid Prescribing and Utilization Following Isolated Mid-Urethral Sling.

Alex J Knutson1, Brianne M Morgan2, Rehan Feroz1

  • 1Obstetrics and Gynecology, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.

Cureus
|December 20, 2021
PubMed
Summary

Patients undergoing mid-urethral sling (MUS) placement need limited opioids for pain. Inadequate education on opioid disposal increases diversion risk.

Keywords:
mid-urethral sling placementopioid disposalopioid utilizationpostoperative opioid prescribingpostoperative pain control

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Area of Science:

  • Urology
  • Pain Management
  • Public Health

Background:

  • Overprescribing opioids contributes to the opioid crisis.
  • Guidelines for acute pain management are sparse.
  • Physician prescribing impacts community opioid availability.

Purpose of the Study:

  • Evaluate opioid prescribing for isolated mid-urethral sling (MUS) placement.
  • Analyze postoperative opioid usage patterns.
  • Assess postoperative pain control in MUS patients.

Main Methods:

  • Prospective phone interviews with MUS patients.
  • Retrospective chart review for opioid prescription data.
  • Assessed opioid usage, pain control, and disposal education.

Main Results:

  • 54.7% of MUS patients received opioid prescriptions.
  • Most patients used opioids for 1-2 days postoperatively.
  • 87.1% reported satisfactory pain control.
  • Limited patient education on opioid disposal was noted.

Conclusions:

  • Isolated MUS placement requires minimal postoperative opioids.
  • Excess opioid prescribing and poor disposal education elevate diversion risk.
  • Improved patient education on safe opioid disposal is crucial.