Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightThe study suggests that the urodynamic studies should be performed alongside other studies in patients with SCT.
📌 3 Maddede Bu Makale
Abstract
Introduction: Sacrococcygeal teratomas (SCT) are the most common germ cell tumors. The incidence of voiding dysfunction is high in children with SCT and its origin is usually neurogenic. Pelvic innervation of the type and degree of teratoma is known that may cause undesirable effects on urinary continence. Methods: In this study, a complete urological examination including urinary microscopy, abdominal ultrasound, voiding cystourethrography, and urodynamic study was performed in 11 patients who were operated for SCT in the neonatal and infancy period between 1996 and 2004. Results: Three of our patients had Type I, six had Type II, and two had Type III tumors. Recurrence occurred in four patients during follow-up. Hydronephrosis was found as unilateral in two and bilateral in two patients. In urodynamic studies, we found low bladder compliance in four patients, detrusor sphincter dyssynergia in five patients, unstable detrusor contraction in five patients, and neurogenic bladder sphincter dysfunction in one patient. Discussion and Conclusion: There was no significant relationship between the teratoma stage and urinary pathological findings and continence. The data about those who had problematic surgery, the type and number of the procedures, presence of invasion, the size of the tumor, recurrence, and undoubtedly the surgeon’s technique have suggested that they are the effective factors in the occurrence of complications. The study suggests that the urodynamic studies should be performed alongside other studies in patients with SCT.