Rescue radical trachelectomy for preservation of fertility in benign disease

Giuseppe Del Priore, Allan S. Klapper, Emil Gurshumov, Marino Martinez Vargas, Laszlo Ungar, J. Richard Smith

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives: To report a series of patients treated with modified radical abdominal trachelectomy to preserve fertility in benign disease that would normally result in hysterectomy. Design: We reviewed all cases of radical abdominal trachelectomy performed for nonneoplastic indications. Patient(s): Of the >160 radical abdominal trachelectomies we performed, four cases were performed for benign indications. One patient had a 10-year history of progressive endometriosis with worsening hydronephrosis, failed medical therapy, and infertility. Two myomectomy patients had intraoperative consultation and a third had preoperative consultation for large lower segment/cervical myomas with conversion to trachelectomy rather than hysterectomy. Intervention(s): Modified radical trachelectomy was successfully completed in all patients. Main Outcome Measure(s): We measured the successful completion of the surgery without hysterectomy, complications, and follow-up. Result(s): Hysterectomy was avoided in all patients, and all resumed normal menses. There were no intraoperative or postoperative complications. One required hysterectomy for recurrence 1 year later, and the remainder were symptom free at 1-5 years of follow-up. Conclusion(s): Although traditionally performed with cervical cancer, radical abdominal trachelectomy can be modified to preserve fertility for benign indications that would otherwise require hysterectomy.

Original languageEnglish
JournalFertility and Sterility
Volume94
Issue number5
DOIs
StatePublished - Oct 2010

Fingerprint

Fertility Preservation
Hysterectomy
Uterine Myomectomy
Fertility
Referral and Consultation
Myoma
Menstruation
Hydronephrosis
Intraoperative Complications
Endometriosis
Uterine Cervical Neoplasms
Infertility
Trachelectomy
Outcome Assessment (Health Care)
Recurrence

Keywords

  • fertility preservation
  • Radical abdominal trachelectomy
  • uterine preservation

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine
  • Medicine(all)

Cite this

Del Priore, G., Klapper, A. S., Gurshumov, E., Vargas, M. M., Ungar, L., & Smith, J. R. (2010). Rescue radical trachelectomy for preservation of fertility in benign disease. Fertility and Sterility, 94(5). https://doi.org/10.1016/j.fertnstert.2010.03.019

Rescue radical trachelectomy for preservation of fertility in benign disease. / Del Priore, Giuseppe; Klapper, Allan S.; Gurshumov, Emil; Vargas, Marino Martinez; Ungar, Laszlo; Smith, J. Richard.

In: Fertility and Sterility, Vol. 94, No. 5, 10.2010.

Research output: Contribution to journalArticle

Del Priore, G, Klapper, AS, Gurshumov, E, Vargas, MM, Ungar, L & Smith, JR 2010, 'Rescue radical trachelectomy for preservation of fertility in benign disease', Fertility and Sterility, vol. 94, no. 5. https://doi.org/10.1016/j.fertnstert.2010.03.019
Del Priore, Giuseppe ; Klapper, Allan S. ; Gurshumov, Emil ; Vargas, Marino Martinez ; Ungar, Laszlo ; Smith, J. Richard. / Rescue radical trachelectomy for preservation of fertility in benign disease. In: Fertility and Sterility. 2010 ; Vol. 94, No. 5.
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