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Postoperative complications and long-term outcomes in Currarino syndrome

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Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Purpose

This study aimed to present ten cases of Currarino syndrome, study their postoperative complications and prognosis, and analyze whether patient background and clinical factors influenced outcomes.

Methods

Ten patients with Currarino syndrome who were followed up at our institution between 2004 and 2020 were enrolled. Patient records were retrospectively reviewed for clinical details, postoperative complications, and long-term outcomes.

Results

The incidence of early postoperative complications was 80%, most of which were transient dysuria. The dysuria significantly developed in the higher normal sacral vertebra (p = 0.024) and the complete type of Currarino syndrome (p = 0.033). Later, intractable constipation requiring rectal irrigation and intractable dysuria requiring clean intermittent catheterization occurred in 40% and 30% of the patients, respectively. There was a tendency for tethered cord syndrome (p = 0.076), and the height of the normal sacral vertebra (p = 0.071) was related to intractable constipation. The height of the normal sacral vertebra (p = 0.05) and the tumor size on the image (p = 0.012) were significantly higher and larger, respectively, in the group with intractable dysuria than in the group without intractable dysuria.

Conclusion

Postoperative complications, especially early ones, occur at a high rate. Long-term intractable constipation and dysuria may be influenced by the degree of sacral dysplasia.

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Data availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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Acknowledgements

We would like to thank Editage (www.editage.com) for English language editing.

Funding

No funding was received for conducting this study.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Miyagi Children’s Hospital, Sendai, 989-3126, Japan

    Tsuyoshi Sakurai, Megumi Nakamura & Naobumi Endo

Authors
  1. Tsuyoshi Sakurai
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  2. Megumi Nakamura
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  3. Naobumi Endo
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Corresponding author

Correspondence to Naobumi Endo.

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Conflict of interest

The authors declare that they have no conflicts of interest.

Ethics approval

This study was approved by the ethics committee of Miyagi Children’s Hospital (Approval No.512) and has, therefore, been performed in accordance with the ethical standards laid down in the Declaration of Helsinki, 1964 and its later amendments.

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Written informed consent was not required as this was a retrospective study with de-identified data.

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Sakurai, T., Nakamura, M. & Endo, N. Postoperative complications and long-term outcomes in Currarino syndrome. Pediatr Surg Int 37, 1773–1781 (2021). https://doi.org/10.1007/s00383-021-04984-1

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