PD22-08 OPIOID AND NON-OPIOID BASED CARE PATHWAYS FOR RECONSTRUCTIVE MALE ANTERIOR URETHRAL SURGERY: EVIDENCE-BASED APPROACH FOR OPIOID STEWARDSHIP

INTRODUCTION AND OBJECTIVES:The United States is facing an opioid epidemic. Surgeons play a critical role, with the incidence of chronic opioid use following surgical procedures impacting up to 10% of patients. Limited evidence exists to guide procedure-specific opioid prescribing best practices and non-opioid based care pathways. We sought to evaluate postoperative opioid requirements and evaluate efficacy of a standardized perioperative pain management pathway for men undergoing anterior urethroplasty.METHODS:Between August 2017 and October 2018, we prospectively evaluated consecutive men undergoing outpatient urethroplasty by a single surgeon. Standardized perioperative pain pathways were implemented based on urethroplasty location (penile vs. bulbar) and on need for buccal mucosa graft (Figure 1). Postoperative opioid usage, amount of unused opioid, pain scores (Likert 0 best to 10 worst), and patient satisfaction with pain management (Likert 6 very satisfied to 1 very dissatisfied) were evaluated.RES...