Abstract
Forty-five patients treated for congenital sacrococcygeal teratoma were examined for late urologic outcome. The follow-up ranged from 4 to 42 (median 22) years. Only 8 patients experienced subjective urinary complaints. Sonography of the urinary tract revealed unilateral hydronephrosis in 2 patients, an ectopic kidney in 1, and a severely scarred kidney in 1; 1 patient had asymptomatic bacteriuria. Urodynamic screening using uroflowmetry was abnormal in 35 patients (78%). The risk of significant postoperative complications and subsequent late sequelae was greatest among patients with intrapelvic extension of the primary tumor.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Altman RP, Randolph JG, Lilly JR (1974) Sacrococcygeal teratoma: American Academy of Pediatrics, Surgical Section survey — 1973. J Pediatr Surg 9: 389–398
Dinkel E, Ertel M, Dittrich M, Peters H, Berres M, Schulte-Wissermann H (1985) Kidney size in childhood. Sonographical growth charts for kidney length and volume. Pediatr Radiol 15: 38–43
Engelskirchen R, Holschneider AM, Rhein R, Hecker WCh, Höpner F (1987) Sacrococcygeal teratomas in children. An analysis of long-term results in 87 children. Z Kinderchir 42: 358–361
Fidas A, MacDonald HL, Elton RA, Wild SR, Chisholm GD, Scott R (1987) Prevalence and patterns of spina bifida occulta in 2707 normal adults. Clin Radiol 38: 537–542
Fidas A, MacDonald HL, Elton RA, McInnes A, Wild SR, Chisholm GD (1989) Prevalence of spina bifida occulta in patients with functional disorders of the lower urinary tract and its relation to urodynamic and neurophysiological measurements. Br Med J 298: 357–359
Galloway NTM, Tainsh J (1985) Minor defects of the sacrum and neurogenic bladder dysfunction. Br J Urol 57: 154–155
Ghazali S (1973) Presacral teratomas in children. J Pediatr Surg 8: 915–918
Gwinn JL, Docherty MB, Kennedy RLJ (1955) Presacral teratomas in infancy and childhood. Pediatrics 16: 239–249
Hjälmås K (1976) Micturition in infants and children with normal lower urinary tract. A urodynamic study. Scand J Urol Nephrol [Suppl] 37: 1–106
Keating MA, Rink RC, Bauer SB, Krarup C, Dyro FM, Winston KR, Shillito J, Fischer EG, Retik AB (1988) Neurourological implications of the changing approach in management of occult spinal lesions. J Urol 140: 1299–1301
Kirk D, Lister J (1976) Urinary complications of sacrococcygeal teratoma. Z Kinderchir 18: 294–304
Lahdenne P, Heikinheimo M, Jääskeläinen J, Merikanto J, Heikkilä J, Siimes MA (1991) Vertebral abnormalities associated with congenital sacrococcygeal teratomas. J Pediatr Orthop 11: 603–607
Malone PS, Duffy PG, Ransley PG (1989) Urinary tract obstruction secondary to presacral teratoma: a missed diagnosis. J Urol 142: 1047–1049
Malone PS, Spitz L, Kiely EM, Brereton RJ, Duffy PG, Ransley PG (1990) The functional sequelae of sacrococcygeal teratoma. J Pediatr Surg 25: 679–680
Noseworthy J, Lack EE, Kozakewich HPW, Vawter GF, Welch KJ (1981) Sacrococcygeal germ cell tumors in childhood: an updated experience with 118 patients. J Pediatr Surg 16: 358–364
Waldhausen JA, Kilman JW, Vellios F, Battersby JS (1963) Sacrococcygeal teratoma. Surgery 54: 933–949
Author information
Authors and Affiliations
Additional information
Supported by the Foundation for Pediatric Research, Helsinki, Finland
Rights and permissions
About this article
Cite this article
Lahdenne, P., Wikström, S., Heikinheimo, M. et al. Late urologic sequelae after surgery for congenital sacrococcygeal teratoma. Pediatr Surg Int 7, 195–198 (1992). https://doi.org/10.1007/BF00175838
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00175838