274 / 330
274
28
TH
CONGRESS OF THE ESPU
MATERIAL AND METHODS
We performed a retrospective database and medical history analysis of patients at our center who
had an AUS placement.
AUS were placed in 163 pediatric patients, of which 130 were able for analysis and included in the
series.
One hundred and thirty six AUS were placed in 130 patients. Average age at surgery was 8.8 years.
Thirty eight patients (29.2%) had complications requiring new intervention.
RESULTS
Of the 130 patients, 68.4% required one procedure, 23.7% required 2 and 7.9% more than
2 interventions.
Fifty five procedures were performed in 38 patients.
The complications were: lost of contrast fill in 54.5 %, 21.8% were erosions, 12.7% infections,
migration of components sphincter in 3.6% and 2% were referred because of chronic pain, recurrent
orchitis and ureteral compression by the cuff.
Fifteen component of the AUS were replaced (ballon in 46.7%, pump in 26.7% and wires in 26.7%).
Ten cases were managed refilling the system with contrast, 8 with a fixed resistance, 2 with pump
relocation and one with the removal of the ballon.
Twenty three prosthesis (16.9%) were removed, 17 definitely and in 6 (12.3%) patients a second
AUS were implanted later in time.
CONCLUSIONS
The AUS as treatment for sphincteric incompetence requires close monitoring and long term follow
up. Not all complications involve removal of the prosthesis, except for infection. You can maintain
continence in partial removals with connections to fixed resistance. Most patients maintain the
prosthesis despite partial rupture.
13:18–13:21
S25-9 (PP)
SACROCOCCYGEAL TERATOMA. LONG TERM RECTAL
AND BLADDER DYSFUNCTION
Ramiro PEREA
1
, Javier RUIZ
1
, Cristian SAGER
2
, Juan Pablo CORBETTA
2
,
Juan Carlos LOPEZ
2
, Marcela BAILEZ
2
, Carol BUREK
2
, Santiago WELLER
2
and Enrique LAGO
2
1) Hospital Garrahan, Ciudad de Buenos Aires, Caba, ARGENTINA - 2) Hospital Garrahan, Buenos Aires, Caba,
ARGENTINA
PURPOSE
The mass-effect and the surgical resection of sacrococcygeal teratoma (SCT) in neonates may
result in a rectal or bladder dysfunction. The aim of this study is to evaluate postoperative long-term
functional outcome in children undergoing SCT resection.
MATERIAL AND METHODS
Neonates with diagnosis of SCT who received surgical resection between 1988 and 2010 were
included in this retrospective review. Data collected included age at surgery, Altman stage, tumor
histology and size, surgical treatment. Functional assessment of the bladder and rectum was made
with clinical follow up by a multidisciplinary group. Multivariable regression analysis was performed
using IBM SPSS 19 with functional sequelae as outcome.