Radical Vaginal Trachelectomy

  • Suzana Arenhart PessiniEmail author
  • Gustavo Py Gomes da Silveira
  • Denis Querleu


Cervical cancer is the fourth most common cancer in women, with estimated rates of incidence age standardized (ASRs) ranging from 5.5 per 100,000 in Australia/New Zealand to 42.7 in Eastern Africa. Around 84% of new cervical cancer and 87% of cervical cancer deaths occur in the less developed regions.

The peak age of developing cervical cancer is 47 years, and approximately 47% of women with invasive cervical cancer are younger than 35 years of age at diagnosis.

The incidence of cervical cancers in young women is increasing. Between 2000 and 2009, the incidence in women aged 20–29 increased annually by an average of 10.3%. Besides that, 14.9% of the women with cervical cancer are between 20 and 34 years of age, and 26.2% are between 35 and 44 years old. In the USA, about 50% of all fertile women with a diagnosis of early-stage cervical cancer fit the criteria for RVT.

Based in these facts, there is no area in which conservative surgery makes more sense than cervical carcinoma, allowing young women to preserve their childbearing potential.


Radical trachelectomy Fertility sparing surgery Cervical cancer 

Supplementary material

Video 27.1

(MOV 142,447 kb)


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Suzana Arenhart Pessini
    • 1
    Email author
  • Gustavo Py Gomes da Silveira
    • 1
  • Denis Querleu
    • 2
  1. 1.Federal do Rio Grande do Sul (UFRGS) and Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA)Porto AlegreBrazil
  2. 2.Department of SurgeryInstitut BergoniéBordeauxFrance

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