Title: Routine Prescription of Opioids for Post-Vasectomy Pain Control
Associated with Persistent Use
Conclusion: Opioids, which do not appear to be necessary in men who undergo
vasectomy, were associated with persistent use in 7.8% of patients at 3 to 6
months. In the face of an opioid epidemic urologists should take action to limit
over prescription of opioids after vasectomy.
My main takeaway from this article is that here is something you NEVER hear about. You never hear people at work talking about how they had a vasectomy and got addicted to Oxycontin. But 7.8% of guys are using opiates 3-6 months after their vasectomy? It just shows how the fact that you never hear people talk about something doesn’t mean it isn’t common.
Also from the study:
In the opioid cohort of 102 patients 13 (12.7%) had prior scrotal/inguinal pathology or surgery, 26 (25.4%) had a chronic pain diagnosis, 31 (30.3%) had a behavioral health diagnosis and 43% had prior opioid prescriptions. In the nonopioid cohort of 126 patients 15
(11.9%) had prior scrotal/inguinal pathology or surgery, 28 (22.2%) had prior chronic pain disorders, 24 (19%) had behavioral health diagnoses and 40% had prior opioid prescriptions.
Of the 102 patients in the opioid cohort 13 (12.7%) had an encounter for pain within 30 days. Five of these patients (4.9%) telephoned a provider, 5 (4.9%) saw a provider as an outpatient and 3 (2.9%) went to the emergency room. In the nonopioid cohort of 126 patients 23 (18.4%) had an encounter for pain within 30 days. Six of these patients (4.8%) telephoned a
provider, 10 (7.9%) saw a provider as an outpatient and 7 (5.6%) went to the emergency room.
Also, holy moly, are 4% of guys who get a vasectomy going to the emergency room for post operative pain?