Radical Hysterectomy for Gynecological Cancers

A radical trachelectomy – also known as a cervicetomy – is the surgical removal of the cervix. The cervix is a narrow, neck-like passage that forms the lowest end of the uterus, and in some situations, it can be removed without actually removing the uterine body itself. This can preserve a patient’s ability to become pregnant, making a trachelectomy an appealing option for young women who are diagnosed with early-stage cervical cancer.

A radical trachelectomy can be completed using any of several different approaches and techniques. For instance, the procedure can be performed:

• Vaginally (through the vagina, which eliminates the need for a surgical incision)
• Laparoscopically (using minimally invasive techniques and small incisions in the abdomen)
• Robotically (with the assistance of a robotic surgical system)

Before performing a radical trachelectomy, a gynecologic oncologist will first test a patient’s lymph nodes to determine if any cancerous cells have started to spread throughout the body. If there are any signs of metastasis (cancerous spread to nearby organs or tissues), the surgeon will recommend a different procedure, such as a hysterectomy, in place of a radical trachelectomy.  

At Moffitt Cancer Center, we recognize that many women are diagnosed with cervical cancer during their reproductive years, when some may be hoping to start or expand their families. As such, we offer numerous treatment options, including fertility-preserving procedures whenever appropriate. Our tumor board reviews each patient’s case and considers a wide range of potential therapies, all of which are provided at Moffitt by experienced gynecologic oncologists.

If you’d like to discuss your treatment options with one of Moffitt’s gynecologic oncologists, call 1-888-663-3488 submit a new patient registration form online. No referral is required to consult with our team regarding a trachelectomy or other cervical cancer treatment.