Preserving Fertility,
Treating Cancer, Trachelectomy
at Athenaa

What is Trachelectomy

Trachelectomy is a specialized surgical procedure that involves the removal of the cervix (the lower part of the uterus that opens into the vagina) while preserving the uterus. It is most often performed in early-stage cervical cancer in women who wish to retain their ability to have children. Trachelectomy may be recommended if the tumor is less than 2 cm and confined to the cervix (usually stage IA2 to IB1).

There are two main surgical approaches: vaginal trachelectomy and abdominal trachelectomy. Both aim to offer oncological safety while preserving fertility, when possible. Many women can conceive naturally after trachelectomy. Due to the absence of a cervix, pregnancies are a high risk for preterm delivery. Close monitoring by an obstetrician is essential.

How the Procedure
is Performed

At Apollo Athenaa, every surgical step is carefully planned and performed by experienced surgeons with a focus on safety, precision, and recovery.

Surgery is done under general anesthesia.
Based on the surgical approach, the duration of the surgery is typically 3–5 hours.
In vaginal trachelectomy, the cervix is removed through the vaginal route. A cerclage (a permanent stitch) is placed at the base of the uterus to support future pregnancies.
Abdominal trachelectomy is preferred in women who are not suited for vaginal trachelectomy.
Lymph nodes in the pelvis are examined to ensure there is no spread.
The uterus is left intact, attached directly to the upper vagina after removal of the cervix.

Recovery

Healing at Apollo Athenaa is supported through structured post-operative care, counselling, and rehabilitation support.

Hospital Stay

Hospital stay is usually 2–5 days, depending on the surgical approach.

Activity Guidance

Strenuous activity, heavy lifting, and sexual intercourse should be avoided for a few weeks.

Gradual Return

Return to daily activities is progressive and guided by comfort and healing.

Ongoing Surveillance

Regular follow-ups include physical exams, imaging, and Pap smear and/or HPV testing.

Key
Advantages

At Apollo Athenaa, surgery is thoughtfully planned with a personalized approach, ensuring safety, precision, and optimal outcomes.

Fertility Preservation

Preserves fertility without compromising cancer outcomes and allows the possibility of natural conception.

Careful Selection

Suitable for carefully selected women with early-stage cervical cancer.

Minimal Invasiveness

A Minimally invasive options offer shorter recovery and less post-operative pain.

Pregnancy Support

Cerclage placement supports and maintains future pregnancies post-surgery.

Continuum of Care

At Apollo Athenaa, our teams remain involved at every stage, ensuring that recovery is not only physical, but also emotional and empowering. Each woman is supported through:

Ongoing care from gynecologists and fertility counsellors to support both health and future planning

Structured follow-up and monitoring to detect and manage any signs of recurrence early

Physiotherapy, nutritional guidance, and recovery-focused care to restore strength and function

Onco-psychology and counselling services to support mental and emotional recovery

Frequently Asked Questions

What is a trachelectomy?

01

A trachelectomy is a fertility-preserving surgery in which the cervix is removed while the uterus is retained. It is performed for selected women with early-stage cervical cancer who wish to maintain the ability to become pregnant.

Who is eligible for trachelectomy?

02

Trachelectomy is suitable for carefully selected women with early-stage cervical cancer, small tumors confined to the cervix, and no evidence of spread to surrounding tissues or lymph nodes. Final eligibility is decided after detailed imaging and evaluation.

Will I still be able to get pregnant after trachelectomy?

03

Yes, many women can conceive naturally after trachelectomy. A cervical stitch (cerclage) is usually placed during surgery to support future pregnancies, though pregnancies are considered high-risk and require close monitoring.

Is trachelectomy as safe as hysterectomy for cancer control?

04

In appropriately selected patients, trachelectomy offers cancer outcomes comparable to radical hysterectomy, while preserving fertility. Careful follow-up and surveillance are essential.

What is the recovery like after trachelectomy?

05

Hospital stay is usually 2–5 days. Most women resume daily activities gradually over a few weeks. Strenuous activity and sexual intercourse are restricted initially, and regular follow-ups with exams and screening tests are required.

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Preserving Fertility, Treating Cancer, Trachelectomy at Athenaa

Preserving Fertility,
Treating Cancer, Trachelectomy
at Athenaa