Postnatal aspects of pelvic organ dysfunction in children with developmental defects - sacrococcygeal teratomas, after their resection (literature review)

Authors

  • V.P. Soroka SI «Ukrainian center of мaternity and childhood of the NAMS of Ukraine», Kyiv, Ukraine
  • O.V. Trokhymovych SI «Ukrainian center of мaternity and childhood of the NAMS of Ukraine», Kyiv, Ukraine https://orcid.org/0000-0001-7423-5281
  • V.V. Holovkevych SI «Ukrainian center of мaternity and childhood of the NAMS of Ukraine», Kyiv, Ukraine

DOI:

https://doi.org/10.15574/PS.2025.4(89).130133

Keywords:

congenital malformation, sacrococcygeal teratoma, pelvic organ function, surgical treatment, teratoma resection, complications, newborn, older child

Abstract

Aim - to analyze the postnatal aspects of pelvic organ dysfunction in children following the resection of sacrococcygeal teratomas (SCT) and to identify measures for preventing negative functional outcomes in the long-term postoperative period.

A literature review was conducted using PubMed, Elsevier, and medical textbooks. The study analyzed pelvic organ innervation disorders in the long-term period after SCT resection, including fecal and urinary incontinence, constipation, neurogenic bladder, and sexual dysfunction. Key factors for preventing adverse long-term functional outcomes were identified: an individualized treatment strategy, early surgical intervention, radical tumor removal, and the restoration of the anatomical integrity of the pelvic floor and the physiological position of the anus and rectum. It was established that long-term follow-up and regular conservative treatment are reliable factors for improving the quality of life and preventing symptoms of impaired pelvic innervation.

Conclusions. All stages of care for newborns with SCT should be provided within a single multidisciplinary perinatal center. This approach ensures effective coordination between specialists, including obstetricians-gynecologists, pediatric anesthesiologists, neonatologists, pediatric oncologists, urologists, and proctologists.

The authors declare no conflict of interest.

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Published

2025-12-28

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No. 4(89) (2025): Paediatric surgery (Ukraine)

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Reviews

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