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Radical trachelectomy for cervical cancer

A radical trachelectomy is surgery that removes the cervix and the pelvic lymph nodes. Cervical cerclage is done at the same time. The uterus is left so that later, pregnancy could occur. If pregnancy does occur, delivery would be done by cesarean (C-section).

Radical trachelectomy may be a treatment option for some young women with early stages (stage IA2 or IB1) of cervical cancer who hope to preserve their fertility. Women who have had this procedure have high rates of miscarriage and early delivery.¹ Most doctors have limited experience with this procedure. It is not commonly used.

The risks of a radical trachelectomy include the progression of cervical cancer, infertility, and increased rates of miscarriage.

Citations
Koliopoulos G, et al. (2004). Conservative surgical methods for FIGO stage IA2 squamous cervical carcinoma and their role in preserving women's fertility. Gynecologic Oncology, 93(2): 469–473.

Author	Bets Davis, MFA
Editor	Maria Essig
Editor	Susan Van Houten, RN, BSN, MBA
Associate Editor	Pat Truman, MATC
Primary Medical Reviewer	Anne C. Poinier, MD - Internal Medicine
Specialist Medical Reviewer	Kevin Holcomb, MD - Gynecologic Oncology
Last Updated	September 5, 2008

WebMD Medical Reference from Healthwise

Last Updated: September 05, 2008

This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.