TY - JOUR T1 - Functional and aesthetic evaluation of sacrococcygeal teratomas. Not everything ends with surgery JO - Anales de Pediatría (English Edition) T2 - AU - Villamil,Vanesa AU - Girón Vallejo,Oscar AU - Fernández-Ibieta,María AU - Sánchez Sánchez,Ángela AU - Reyes Ríos,Paulo Y. AU - Martínez Castaño,Irene AU - Rojas-Ticona,Javier AU - Ruiz Pruneda,Ramón AU - Ruiz Jiménez,José I. SN - 23412879 M3 - 10.1016/j.anpede.2017.03.013 DO - 10.1016/j.anpede.2017.03.013 UR - https://analesdepediatria.org/en-functional-aesthetic-evaluation-sacrococcygeal-teratomas--articulo-S2341287917302077 AB - IntroductionSacrococcygeal teratoma is the most common solid neonatal tumour. The improvement in survival has meant that postoperative sequelae can be diagnosed and treated. The aim of this article is to evaluate the long-term outcomes of patients treated in our centre. Material and methodsRecords of patients treated for a sacrococcygeal teratoma in our hospital from 1977 to 2014 were retrospectively reviewed. Personal data was collected and a telephone questionnaire was used to assess long-term bowel and urinary habits, as well as an aesthetic and functional self-assessment. ResultsA total of 14 patients were treated during the study period, of whom 11 were females and 3 males, with a mean age at the time of the survey of 17 years (8 months to 37 years). Eight patients completed the questionnaire (57.1%). The mean age of the 8 patients was 23 years (4–37 years), of whom 37.5% were operated on due to a sacrococcygeal teratoma type I, 25% type II, 25% type III, and 12.5% type IV. Two of them (25%) had constipation, and one (12.5%) had faecal incontinence. Two (25%) patients suffered from recurrent urinary tract infections, and 3 (37.5%) patients had urinary incontinence. Five patients (62.5%) had a perception of being physically impaired, with limitation of their social life. ConclusionsThe incidence of constipation does not differ from that found in the literature. Faecal incontinence is slightly improved compared to what has been published. However, urinary tract infections and incontinence are more prevalent in our series. Five patients out of the eight that responded suffered from psychosocial problems, according to DAS-59 questionnaire. Patients with SCT require urological, bowel, and psychological counselling, until they have a complete functional and emotional development. ER -