Multimodal pain management strategies in penile implant recipients

Penile prosthesis insertion can cause significant pain and discomfort. Traditional methods of pain control using narcotics alone have been shown to contribute to drug abuse and/or potential lethal overdose. Multimodal therapies are often used to reduce both pain and narcotic usage following surgery but until recently have been poorly characterized in prosthetic urology. Common medications used as part of an enhanced recovery after surgery are discussed. A prior novel investigation on multimodal therapy that spans the entire peri-operative and post-operative recovery period following penile implantation is also reviewed. Additionally, techniques for performing penile blocks are described with video demonstration of pudendal and penile nerve blocks.