Coccygectomy

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Editor-In-Chief: Patrick Foye, MD, Associate Professor, Physical Medicine and Rehab., UMDNJ-NJMS

Overview

Coccygectomy is surgery to remove the coccyx.

In humans, coccygectomy is the treatment of last resort for coccydynia, but a required treatment for sacrococcygeal teratoma and other germ cell tumors involving the coccyx.

To preserve normal defecation, coccygectomy normally is accompanied by re-attachment (also known as re-approximation) of the two levator ani muscles and of the perineum, parts of the pelvic floor. In adults who undergo coccygectomy, but not in babies and young children, one infrequent complication is a later perineal hernia.[1][2]

References

  1. Berrevoet F, Pattyn P. (2005) Use of bone anchors in perineal hernia repair: a practical note. Langenbecks Arch Surg. 390(3):255-258. Pubmed
  2. Zook NL, Zook EG. (1997) Repair of a long-standing coccygeal hernia and open wound. Plast Reconstr Surg. 100(1):96-99. PubMed

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