Neurogenic Bladder, Sacrococcygeal Teratoma, Voiding Disorders
Conditions
Keywords
Teratoma, sacrococcygeal region, urinary incontinence, neurogenic bladder, children
Brief summary
Sacrococcygeal teratomas are the most common neonatal tumors and require rapid and complete resection. Tumor nerve compression and pelvic surgical sequelae may lead to many and varied voiding disorders. Data concerning long-term vesico-sphincteric disorders are conflicting. Some studies find good functional results \[Cozzi et al., 2008; Draper et al., 2009\]. However other authors reveal neurologic bladder with detrusor sphincter dyssynergia \[Hambraeus et al., 2018\] and rise concerned about long-term renal function \[Khanna et al., 2019; Rehfuss et al., 2020\] even in the absence of clinical voiding disorders. Most of studies include young patients with other malformations such as anorectal malformations or dysraphisms which may impact the results. The main objective is to assess bladder dysfunction in children aged 6 to 18 years after isolated sacrococcygeal teratoma resection.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Children aged 6 to 18 * history of sacrococcygeal teratoma resection
Exclusion criteria
* Associated anorectal malformation * Associated neurological pathology
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence of voiding disorders | Day 1 | Presence of voiding disorders will be assessed by the scale: Dysfonctional voiding scoring system |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Presence of defecation disorders | Day 1 | The Presence of defecation disorders will be assessed by the scale: Bristol stool scale |
| Presence of secondary neurological bladder | Day 1 | the Presence of secondary neurological bladder will be assessed by the uroflowmetry |
Countries
France