Kidney stones and the opioid epidemic: recent developments and review of the literature.

Abstract:

PURPOSE OF REVIEW:A public health emergency has been declared in response to rising opioid addiction and opioid-related deaths in the United States. As kidney stones have been identified as an important source of initial and repeated opioid exposures, this review seeks to describe the scope of the problem and report relevant alternatives to opioid analgesia for stones. RECENT FINDINGS:Recent literature summarizing the extent of opioid use among those with stones is reviewed. A number of opioid-minimizing strategies and analgesic regimens have been proposed and studied. A review of these modifications and alternatives is provided. SUMMARY:Both symptomatic renal colic and surgical interventions to address stones may prompt need for analgesia. Reducing prescribed opioids reduces both patient use and risk of diversion. Modifications in surgical technique, administration of local anesthetics, and use of systemic nonopioid analgesics have all been successfully employed.

journal_name

Curr Opin Urol

authors

Krughoff K,Pais VM Jr

doi

10.1097/MOU.0000000000000705

subject

Has Abstract

pub_date

2020-03-01 00:00:00

pages

159-165

issue

2

eissn

0963-0643

issn

1473-6586

journal_volume

30

pub_type

杂志文章,评审
  • Underactive bladder in women: is there any evidence?

    abstract:PURPOSE OF REVIEW:Underactive bladder (UAB) is a clinical symptom complex only recently gaining recognition as a clinical diagnosis. Lack of consensus agreement on a definition of UAB has limited its recognition and diagnosis in clinical practice. The purposes of this review are to: present existing definitions of UAB,...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000280

    authors: Cohn JA,Brown ET,Kaufman MR,Dmochowski RR,Reynolds WS

    更新日期:2016-07-01 00:00:00

  • Cartography-based quality control of prostate cancer care: a necessary ground to targeted focal therapy.

    abstract:PURPOSE OF REVIEW:We summarize the evidence on accurate target definition, precise imaging, and guiding systems that are a necessary ground to targeted focal therapy. RECENT FINDINGS:Accurate target detection is based on the ability of imaging to locate and characterize precisely the tumor burden and differentiation i...

    journal_title:Current opinion in urology

    pub_type: 杂志文章

    doi:10.1097/MOU.0000000000000560

    authors: Aoun F,Albisinni S,van Velthoven R

    更新日期:2019-01-01 00:00:00

  • New diagnostic strategies in the detection and staging of bladder cancer.

    abstract:PURPOSE OF REVIEW:Bladder cancer is a very frequent disease and represents the second most common genitourinary neoplasm. The most prevalent form of the disease, superficial bladder cancer, can recur in more than 70% of cases, despite correct management. Any way to improve our disease diagnostic and treatment policy is...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200309000-00001

    authors: Jichlinski P

    更新日期:2003-09-01 00:00:00

  • Management of urethrovaginal fistulae.

    abstract:PURPOSE OF REVIEW:Urethrovaginal fistulae are a rare condition. It is a conceptual mistake to consider urethrovaginal fistulae to be synonymous with vesicovaginal fistulae. Urethrovaginal fistulae are a different entity requiring special attention and treatment. Due to the wide variety and individuality of the clinical...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3282feedd4

    authors: Pushkar DY,Sumerova NM,Kasyan GR

    更新日期:2008-07-01 00:00:00

  • The use of stents in contemporary urology.

    abstract:PURPOSE OF REVIEW:Ureteral stents are a mainstay of today's urological armamentarium. This review critically evaluates the recent literature and provides a concise summary of the use of stents in urology today. While stents are used in many reconstructive urologic procedures, this review focuses on the use of stents in...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200403000-00011

    authors: Chew BH,Knudsen BE,Denstedt JD

    更新日期:2004-03-01 00:00:00

  • Morphological and biological predictors for treatment outcome of transurethral microwave thermotherapy.

    abstract::The proliferation of prostatic tissue as a result of ageing typically leads to prostatic enlargement, which often causes obstruction of urine outflow from the bladder, clinically lower urinary tract symptoms, detrusor instability, incomplete bladder emptying, urinary infection, and finally acute urinary retention. The...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200201000-00006

    authors: Seitz C,Djavan B,Marberger M

    更新日期:2002-01-01 00:00:00

  • New innovative therapies for benign prostatic hyperplasia: any advance?

    abstract:PURPOSE OF REVIEW:Benign prostatic hyperplasia is the most common human neoplasm and it is the most frequent tumour requiring surgical treatment in men. Not surprisingly, interest centres on either understanding of prostatic growth during ageing or on various medical or interventional treatments. RECENT FINDINGS:Recen...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200301000-00003

    authors: Klingler HC

    更新日期:2003-01-01 00:00:00

  • Proteomics in prostate cancer.

    abstract:PURPOSE OF REVIEW:State-of-the-art proteomics technologies are currently being assessed for utility in the study of prostatic malignancy. This review aims to provide background information on the current proteomics techniques employed in prostate cancer research, recent reports showing the potential application of prot...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000165547.48922.12

    authors: Bañez LL,Srivastava S,Moul JW

    更新日期:2005-05-01 00:00:00

  • Retroperitoneal versus transperitoneal robotic-assisted laparoscopic partial nephrectomy: a matched-pair, bicenter analysis with cost comparison using time-driven activity-based costing.

    abstract:PURPOSE OF REVIEW:To perform a bicenter, retrospective study of perioperative outcomes of retroperitoneal versus transperitoneal robotic-assisted laparoscopic partial nephrectomy (RALPN) and assess costs using time-driven activity-based costing (TDABC). We identified 355 consecutive patients who underwent RALPN at Univ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MOU.0000000000000483

    authors: Laviana AA,Tan HJ,Hu JC,Weizer AZ,Chang SS,Barocas DA

    更新日期:2018-03-01 00:00:00

  • Prostate cryotherapy: current status.

    abstract:PURPOSE OF REVIEW:Minimally invasive options to treat low-risk prostate cancer are more desirable than radical therapy. Technological improvements in cryotherapy have increased its use, and long-term data on its efficacy are emerging. In this review, we discuss contemporary data on cryotherapy with specific focus on st...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/mou.0b013e32831e16ce

    authors: Ritch CR,Katz AE

    更新日期:2009-03-01 00:00:00

  • Biomarkers for immunotherapy in urological cancers.

    abstract:PURPOSE OF REVIEW:Immunotherapies for urological malignancies have made tremendous progress by targeting immune checkpoints and have been implemented in clinical practice nowadays. Though siginifcant number of patients does not respond to immunotherapy. Biomarkers could help to predict response to treatment, but are st...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000465

    authors: Gust KM,Resch I,D'Andrea D

    更新日期:2018-01-01 00:00:00

  • Phosphodiesterase 5 inhibitors in the management of benign prostatic hyperplasia and erectile dysfunction: the best of both worlds.

    abstract:PURPOSE OF REVIEW:Phosphodiesterase 5 (PDE-5) inhibitors are established as first-line therapy in erectile dysfunction. There is emerging evidence that they may have a role in treating patients with lower urinary tract symptoms (LUTS) from benign prostatic hypertrophy. RECENT FINDINGS:All three commonly used PDE-5 inh...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e328316c357

    authors: Wong P,Lawrentschuk N,Bolton DM

    更新日期:2009-01-01 00:00:00

  • Clinical update on testicular microlithiasis.

    abstract:PURPOSE OF REVIEW:Testicular microlithiasis becomes a greater interdisciplinary issue among urologists, andrologists, gynecologists dedicated to reproductive medicine, pediatricians, radiologists and pathologists. Proposed management ranges from benign neglect, instructing self-examination over follow-up once, regular ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3283314a1d

    authors: Meissner A,Mamoulakis C,de la Rosette JJ,Pes MP

    更新日期:2009-11-01 00:00:00

  • Transobturator versus retropubic synthetic slings: comparative efficacy and safety.

    abstract:PURPOSE OF REVIEW:To review the reported effectiveness and safety of transobturator (TransOburator route, TOR) versus retropubic (retropubic tape) synthetic mid-urethral slings discussing the controversy existing on which of these procedures is best. RECENT FINDINGS:From August 2009 to January 2011 three meta-analyses...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3283476edb

    authors: Cerruto MA,Artibani W

    更新日期:2011-07-01 00:00:00

  • Neo-adjuvant and adjuvant treatment of locally invasive bladder cancer.

    abstract::Since Sternberg et al. in 1985 first published preliminary results of polychemotherapy in patients with metastatic bladder cancer, it became apparent that transitional carcinoma of the bladder is highly responsive to chemotherapy. Response rates up to 70% with combination therapy regimens like methotrexate, vinblastin...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-199909000-00009

    authors: Schultz-Lampel D,Lampel A

    更新日期:1999-09-01 00:00:00

  • Predictive factors for recurrence progression and cancer specific survival in high-risk bladder cancer.

    abstract:PURPOSE OF REVIEW:Despite standard treatment with transurethral resection (TUR) and adjuvant Bacillus Calmette-Guérin (BCG), a large percentage of high-risk bladder cancer (HRBC) recur, and some progress. On the basis of review of the current guidelines and literature, we have developed actualized clinical and molecula...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e328356ac20

    authors: Rodríguez Faba O,Palou J

    更新日期:2012-09-01 00:00:00

  • Anatomic partial nephrectomy: technique evolution.

    abstract:PURPOSE OF REVIEW:Partial nephrectomy provides equivalent long-term oncologic and superior functional outcomes as radical nephrectomy for T1a renal masses. Herein, we review the various vascular clamping techniques employed during minimally invasive partial nephrectomy, describe the evolution of our partial nephrectomy...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000140

    authors: Azhar RA,Metcalfe C,Gill IS

    更新日期:2015-03-01 00:00:00

  • Novel targeted therapy for advanced renal carcinoma: trials in progress.

    abstract:PURPOSE OF REVIEW:Better understanding of renal cell carcinoma biology has led to a new era of targeted therapy in the management of metastatic renal cell carcinoma. This review provides an updated survey of the recently reported and ongoing clinical trials that will help to further define the role of these novel drugs...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32833c86f8

    authors: Calabrò F,Sternberg CN

    更新日期:2010-09-01 00:00:00

  • Utility of lymphadenectomy in bladder cancer: where do we stand?

    abstract:PURPOSE OF REVIEW:The aim of this review is to provide insight into the current state of lymph node dissection (LND) during radical cystectomy in patients with bladder cancer (BCa). RECENT FINDINGS:The first prospective, multicenter, randomized, phase III trial to assess the therapeutic benefit of extended versus limi...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000750

    authors: Sung HH,Lerner SP

    更新日期:2020-05-01 00:00:00

  • Factors affecting outcome in renal cell carcinoma.

    abstract:PURPOSE OF REVIEW:To review the latest status on prognostic factors in renal cell carcinoma (RCC). RECENT FINDINGS:Many predictive and prognostic factors can help differentiate between favorable and unfavorable RCC phenotypes. There currently exist several clinical and/or pathological, and biological factors, which ha...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32833c7b19

    authors: Sun M,Shariat SF,Karakiewicz PI

    更新日期:2010-09-01 00:00:00

  • What is new in robot-assisted radical prostatectomy: a narrative review.

    abstract:PURPOSE OF REVIEW:The implementation of novel technologies and refinements in the surgical technique are continuously changing the urological surgical scenario. The purpose of this review is to provide surgeons with the latest and most relevant updates in the field of robot-assisted radical prostatectomy (RARP) occurre...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000564

    authors: Martini A,Gandaglia G,Briganti A

    更新日期:2019-01-01 00:00:00

  • Modern pharmacotherapy for erectile dysfunction: evolving concepts with central and peripheral acting agents.

    abstract::Pharmacotherapy for men experiencing erectile dysfunction has undergone dramatic advances over the past 5 years with the introduction of an effective oral agent. Sildenafil has increased the pool of couples seeking treatment for this important health issue as well as expanding the numbers of physicians treating it. Re...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200111000-00011

    authors: Brock GB,Bochinski D

    更新日期:2001-11-01 00:00:00

  • New concepts in regenerative medicine approaches to the treatment of female stress urinary incontinence.

    abstract:PURPOSE OF REVIEW:Update on recent regenerative medicine approaches to the treatment of stress urinary incontinence (SUI) caused by intrinsic sphincter deficiency (ISD). RECENT FINDINGS:In the treatment of female SUI/ISD, results using different types of cellular therapy have been disappointing, and new approaches are...

    journal_title:Current opinion in urology

    pub_type: 杂志文章

    doi:10.1097/MOU.0000000000000617

    authors: Bennington J,Williams JK,Andersson KE

    更新日期:2019-07-01 00:00:00

  • Overdetection in screening for prostate cancer.

    abstract:PURPOSE OF REVIEW:To describe mechanisms behind and extent of overdetection in prostate cancer screening as well as possible ways to avoid unnecessary overdiagnosis. RECENT FINDINGS:Overdetection and overtreatment is common in many areas of modern medicine. Current prostate-specific antigen (PSA) testing has resulted ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000054

    authors: Hugosson J,Carlsson S

    更新日期:2014-05-01 00:00:00

  • Should cystectomy only be performed at high-volume hospitals by high-volume surgeons?

    abstract:PURPOSE OF REVIEW:Monitoring and improving the quality of healthcare is an evolving process that involves patients, physicians, and healthcare purchasers. Growing interest is seen in addressing quality concerns with policy changes. Surgeon and hospital volumes for specific high-risk procedures have been shown to be pre...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000240307.85829.7a

    authors: Black PC,Brown GA,Dinney CP

    更新日期:2006-09-01 00:00:00

  • Vesicoureteral reflux and urinary tract infections.

    abstract::Urinary tract infection is a common problem in children. The combination of vesico-ureteric reflux (VUR) and urinary tract infection may predispose children to pyelonephritis and subsequent complications. This review outlines the modifications suggested in the recent literature in the protocol for investigations and d...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200011000-00009

    authors: Agarwal S

    更新日期:2000-11-01 00:00:00

  • Robotic surgery for ureteropelvic junction obstruction.

    abstract:PURPOSE OF REVIEW:Robotic surgery for ureteropelvic junction obstruction is an evolving technique. We review the current literature related to this technique and discuss the current technique and outcomes of robotic pyeloplasty. RECENT FINDINGS:Recent advances in robotic-assisted surgery have allowed the successful co...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000232052.74342.a0

    authors: Lee RS,Borer JG

    更新日期:2006-07-01 00:00:00

  • Novel imaging techniques reshape the landscape in high-risk prostate cancers.

    abstract:PURPOSE OF REVIEW:High-risk prostate cancers (PCa), that is, those with prostate-specific antigen greater than 20 ng/dl, Gleason Score of at least 8, or extraprostatic spread, are nowadays commonly treated by surgery and radiotherapy combined with a fixed period of systemic treatment. Implementing these strategies requ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e328361d451

    authors: Lecouvet FE,Lhommel R,Pasoglou V,Larbi A,Jamar F,Tombal B

    更新日期:2013-07-01 00:00:00

  • The prospect of gene therapy for prostate cancer: update on theory and status.

    abstract::Molecularly based novel therapeutic agents are needed to address the problem of locally recurrent, or metastatic, advanced hormone-refractory prostate cancer. Recent basic science advances in mechanisms of gene expression, vector delivery, and targeting have rendered clinically relevant gene therapy to the prostatic f...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200109000-00007

    authors: Koeneman KS,Hsieh JT

    更新日期:2001-09-01 00:00:00

  • Important factors in the diagnosis and primary staging of testicular tumours.

    abstract:PURPOSE OF REVIEW:In the present review we outline the use of different staging methods and highlight future possibilities in the management of testicular germ cell cancer. RECENT FINDINGS:The 5-year survival for testicular cancer has improved dramatically over the past 30 years, with cure rates approaching 95%. This ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200209000-00009

    authors: Spermon JR,Debruyne FM,Witjes JA

    更新日期:2002-09-01 00:00:00