Efficacy of Opioid-limiting Pain Management Protocol in Men Undergoing Urethroplasty

Inclusion Criteria: * Men greater than 18 years of age who are scheduled for anterior urethroplasty surgery Exclusion Criteria: * Any patient not classified as a II or III on the American Society of Anesthesiologists (ASA) physical status classification system. * General anesthesia or neuraxial anesthesia with epidural used as anesthetic techniques * Allergy/intolerance to local anesthetic or steroids * Pre-existing neurological and/or anatomical deficit that would preclude regional block * Coexisting coagulopathy such as hemophilia or von Willebrand Disease * BMI greater than 40 or less then 20 * History of intravenous drug or opioid abuse * History of opioid use within a week prior to urethroplasty * History of any chronic pain syndrome * Posterior urethroplasty * Patients with chronic kidney disease * Patients allergic to NSAIDs * Patients requiring more than one buccal graft harvest * Patients with graft urethroplasty with site other than buccal * Patients with a history of previous urethroplasty