Arch Gynecol Obstet (2017) 296:559–564 DOI 10.1007/s00404-017-4463-0 GYNECOLOGIC ONCOLOGY Follow‑up after radical vaginal trachelectomy (RVT): patients’ problems and physicians’ difficulties 1 1 1 1 Dorothee Speiser · Shazia Malik · Malgorzata Lanowska · Anne Bartens · 1 1 Jens‑Uwe Blohmer · Mandy Mangler Received: 7 April 2017 / Accepted: 12 July 2017 / Published online: 17 July 2017 © Springer-Verlag GmbH Germany 2017 Abstract Introduction Purpose Patients after radical vaginal trachelectomy (RVT) need specific follow-up treatment because their Today, up to 50% of patients with cervical cancer are in problems differ from those of other gyneco-oncologic their 20s and 30s at the time of diagnosis and most patients patients. Anatomic changes after surgery complicate exam- with stage I cervical cancer have a favourable prognosis inations. Recognition and treatment of these issues require with 20-year-survival rates of over 86% [1–3]. Therefore, physician’s expertise. the question of fertility sparing treatment arises regularly. Patients and methods We evaluated the follow-up data The method of choice to perform fertility-sparing surgery of 70 patients who underwent RVT for early cervical can- in these patients is radical vaginal trachelectomy (RVT), cer between 03/2010 and 12/2013. The follow-up interval first described by Daniel Dargent [ 4]. RVT combines pres- in the first 2
Archives of Gynecology and Obstetrics – Springer Journals
Published: Jul 17, 2017
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