APSA PapersUrologic and anorectal complications of sacrococcygeal teratomas: Prenatal and postnatal predictors
Section snippets
Methods
Medical records of all patients who underwent SCT resection at our institution between 2000 and 2012 were reviewed. Recorded data on patient demographics, prenatal course and imaging, preoperative imaging, surgical resection and pathology, postoperative complications during admission, and late sequelae during regular outpatient follow-up were analyzed.
Functional sequelae were evaluated at regular follow-up appointments and were assessed by detailed history and physical examination, including
Results
A total of 60 patients underwent SCT resection during the study period. 45 patients met criteria for inclusion in the study including a minimum of 12 months follow-up. 15 patients were excluded; 7 died during the neonatal period, and 8 were lost to follow-up or discharged with follow-up care arranged at outside centers. 26 of the 45 patients (58%) had no impairment of bowel or bladder function after a median follow-up period of 41.5 months (range 12–124 months), while functional sequelae were
Discussion
There is significant variability in the literature with respect to the incidence of functional sequelae after SCT resection. Urologic complications have been more widely reported, while comparatively fewer studies address anorectal function in these patients (Table 4). Variability in sample size may account for some discordance in the rates of complications observed, with the majority of studies limited to relatively small patient cohorts (n = 10–30). Additionally, while some studies limited
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2022, Journal of Pediatric SurgeryCitation Excerpt :Prenatal diagnosis of these anomalies allows for parental education and counseling prior to birth with surgical resection in the perinatal period. Previous studies have evaluated global bowel and urinary incontinence following resection of SCT. [3–7] The pathophysiology leading to poor continence is likely multifactorial secondary to extensive pelvic dissection during surgery and to mass effect.
Congenital urogenital sinus anomaly in a patient with sacrococcygeal teratoma
2020, Journal of Pediatric Surgery Case ReportsCitation Excerpt :Assuming the knowledge that UGS anomalies sometimes occur in patients with SCT, the precise analysis of the mass structure and its relationships with the pelvic organs and spine may lead to an accurate diagnosis [11]. Although 24–55% of patients with SCT were reported to have urinary symptoms/problems at long-term follow up [7,9,12], fortunately, our patient could void spontaneously and had no hydronephrosis at 31 months after resection of SCT. However, careful urologic evaluation and management of the genitourinary tract is important for all SCT cases including our case.
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2020, Journal of Pediatric UrologyCitation Excerpt :Unlike UDS studies, patients with SCT more commonly have imaging of the urinary tract. For patients with prenatally diagnosed SCT, Partridge et al. found that the presence of hydronephrosis on prenatal imaging (MRI or ultrasound) was prognostic for urological complications [7]. Given the retrospective nature of our study over 29 years, our patient cohort did not consistently have pre-operative imaging of the urinary tract to review and thus we chose not to specifically highlight these results in this study due to difficulties interpreting our findings given the inconsistency of their use.
Sacrococcygeal teratoma with intraspinal extension
2020, Journal of Pediatric Surgery Case Reports