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

doi:10.1016/j.jpedsurg.2015.09.013

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^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-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 language	English
Pages (from-to)	534–540
Number of pages	7
Journal	Journal of Pediatric Surgery
Volume	51
Issue number	4
Early online date	25 Sept 2015
DOIs	https://doi.org/10.1016/j.jpedsurg.2015.09.013
Publication status	Published - 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

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10.1016/j.jpedsurg.2015.09.013Licence: Free access - publisher

Cite this

@article{3814c49b43d543f783437a6a053d5583,

title = "Sexual function after treatment for sacrococcygeal teratoma during childhood",

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) pConclusion: 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.",

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

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

year = "2016",

month = apr,

doi = "10.1016/j.jpedsurg.2015.09.013",

language = "English",

volume = "51",

pages = "534–540",

journal = "Journal of Pediatric Surgery",

issn = "0022-3468",

publisher = "W B Saunders Co-Elsevier Inc",

number = "4",

}

TY - JOUR

T1 - Sexual function after treatment for sacrococcygeal teratoma during childhood

AU - Kremer, Marijke E. B.

AU - Derikx, J.P.

AU - Peeters, Andrea

AU - ter Kuile, M.M.

AU - van Baren, R.

AU - Heij, H.A.

AU - Wijnen, M.H.

AU - van der Zee, D.C.

AU - van Heurn, L.W.

PY - 2016/4

Y1 - 2016/4

N2 - 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) pConclusion: 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.

AB - 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) pConclusion: 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.

KW - Germ cell tumor

KW - Sexual function

KW - Sequelae

KW - ERECTILE FUNCTION IIEF

KW - FUNCTION INDEX FSFI

KW - GERM-CELL TUMORS

KW - INTERNATIONAL INDEX

KW - DYSFUNCTION

KW - CHILDREN

KW - SEQUELAE

KW - POPULATION

KW - EXCISION

KW - INFANTS

U2 - 10.1016/j.jpedsurg.2015.09.013

DO - 10.1016/j.jpedsurg.2015.09.013

M3 - Article

C2 - 26460155

SN - 0022-3468

VL - 51

SP - 534

EP - 540

JO - Journal of Pediatric Surgery

JF - Journal of Pediatric Surgery

IS - 4

ER -