A case of inappropriate use of oxycodone prescribed for micturition pain after intravesical bacillus Calmette-Guerin (BCG) therapy

Abstract

Micturition pain after intravesical bacillus Calmette-Guerin (BCG) therapy is the most common side effect. The use of opioids for refractory pain, such as micturition pain, may lead to inappropriate use. In this report, we describe a case of refractory micturition pain after intravesical bacillus Calmette-Guerin (BCG) therapy that resulted in inappropriate use of prescribed opioids. By taking steroids and transurethral resection of bladder tumor (TURBT), the patient's dependence on oxycodone gradually improved, and he was eventually able to discontinue oxycodone through education about opioid use and treatment of coexistent pain other than micturition pain.