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.
