OBSTETRIC AND REPRODUCTIVE CHALLENGES AFTER TRACHELECTOMY IN PATIENTS DIAGNOSED WITH EARLY STAGE CANCER

Abstract

Radical trachelectomy is an established method of fertility sparing in female patients with early stage cervical cancer. This paper aims to review the series of obstetric and reproductive challenges that may arise following trachelectomy. Additionally, the article emphasized the pregnancy rates achieved after radical abdominal trachelectomy, as presented in studies conducted worldwide, since patients who undergo trachelectomy usually need assisted reproductive technologies to conceive and the pregnancy have a higher risk of preterm birth therefore, the patients should be monitored carefuly by a multidisciplinary team composed of obstetricians, neonatologists and oncologists. Cervical cancer is the second most common type of cancer affecting women of reproductive age. In women of reproductive age, cervical cancer is the second most common type of cancer diagnosed, however nowdays, women diagnosed in early stage who want to conceive children have the opportunity to do so due to the minimum invasive, fertility-sparing procedure such as trachelectomy.

Keywords

• Trachelectomy
• Cervical cancer
• Fertility preservation
• Pelvic lymphadenectomy
• Obstetric outcomes after trachelectomy