A new article published in The Journal of Pediatrics evaluated urinary tract and bowel function in children with sacrococcygeal teratoma, compared the findings with healthy children, and assessed predictors of poor outcome. This controlled cohort study enrolled seven patients operated for sacrococcygeal teratoma at a tertiary pediatric surgery center from 2000 to 2013, and 85 healthy control. It was noted that patients with sacrococcygeal teratoma reported more frequent incidences of uncontrolled voiding, difficulty in bladder emptying, and pyelonephritis. In addition, constipation was more common in patients with sacrococcygeal teratoma, whereas the overall bowel function score was equal in the two groups. On the other hand, children with large tumors and immature histology were more likely to have a dysfunctional outcome. Hence, it was inferred that uncontrolled voiding, difficulty in bladder emptying, pyelonephritis, and constipation were more common in patients with sacrococcygeal teratoma than in healthy children. Furthermore, dysfunctional outcome was more prevalent in children with large and immature teratomas.