Sexual function after treatment for sacrococcygeal teratoma during childhood

Marijke E. B. Kremer, J.P. Derikx, Andrea Peeters, M.M. ter Kuile, R. van Baren, H.A. Heij, M.H. Wijnen, D.C. van der Zee, L.W. van Heurn

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: Children treated for sacrococcygeal teratoma (SCT) may suffer from sexual dysfunction later in life because of the extended pelvic surgery performed, however, structured evaluations have not been performed yet.

Methods: The Female Sexual Function Index (FSFI), the International Index of Erectile Function (IIEF) and the Body Image Questionnaire (BIQ) were sent to patients (>= 18 years) treated for SCT in the Dutch pediatric surgical centers after 1970.

Results: Forty-five of 76 patients returned the questionnaires; 28 women (median age 27.3 years, range 18.3-41.0) and seven men (median age 22.0 years, range 19.1-36.5) were eligible for analysis. The FSFI and IIEF results were compared to healthy controls. Female patients scored significantly lower on the desire (p=0.014), arousal (p=0.013) and lubrication domain (p=0.019). FSFI total-scores of female patients were significantly lower compared to controls [median 30.5 (IQR 28.6-31.4) vs. median 32.4 (IQR 30.6-33.45) p

Conclusion: SCT resection in girls may result in diminished sexual function at adult age with worse self-perceived body image. The possibility of sexual complaints should be integrated in the surveillance strategies for these patients. (C) 2016 Elsevier Inc. All rights reserved.

Original languageEnglish
Pages (from-to)534–540
Number of pages7
JournalJournal of Pediatric Surgery
Volume51
Issue number4
Early online date25 Sep 2015
DOIs
Publication statusPublished - Apr 2016

Keywords

  • Germ cell tumor
  • Sexual function
  • Sequelae
  • ERECTILE FUNCTION IIEF
  • FUNCTION INDEX FSFI
  • GERM-CELL TUMORS
  • INTERNATIONAL INDEX
  • DYSFUNCTION
  • CHILDREN
  • SEQUELAE
  • POPULATION
  • EXCISION
  • INFANTS

Cite this