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Postoperative Opioid Use in Pediatric Inguinal Orchiopexy

Tracy Chin, Evelyn James, Bailey Carter

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |September 27, 2025
    PubMed

    Insights

    Older age, not using acetaminophen, and English as a preferred language were linked to increased opioid use in pediatric orchiopexy patients. Effective communication is key to reducing postoperative pain medication needs.

    Area of Science:

    • Pediatric Surgery
    • Pain Management
    • Pharmacology

    Background:

    • Inguinal orchiopexy is a common pediatric surgical procedure.
    • Postoperative pain management is crucial for recovery.
    • Understanding factors influencing opioid use is essential for optimizing care.

    Purpose of the Study:

    • To identify factors associated with postoperative opioid use in pediatric patients undergoing inguinal orchiopexy.
    • To analyze the relationship between patient demographics, pain management strategies, and opioid consumption.

    Main Methods:

    • Retrospective analysis of 166 pediatric patients (aged 1-21) undergoing inguinal orchiopexy from 2020-2022.
    • Multivariate logistic regression was used to identify associated factors.
    • Standardized pain management protocols involving acetaminophen and hydrocodone-acetaminophen were followed.

    Main Results:

    • Increasing patient age was associated with higher postoperative opioid use.
    • Lack of acetaminophen use correlated with increased opioid requirements.
    • English as a preferred language was linked to greater opioid consumption in this cohort.

    Conclusions:

    • Age, acetaminophen adherence, and preferred language (English) are significant factors influencing postoperative opioid use after orchiopexy.
    • Effective patient education and communication strategies are vital for minimizing opioid prescriptions.
    • These findings underscore the need for tailored pain management approaches considering patient-specific factors.
    Abstract

    Keywords:
    OpioidOrchiopexyPain

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