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Archives of Gynecology and Obstetrics

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17.07.2017 | Gynecologic Oncology

Follow-up after radical vaginal trachelectomy (RVT): patients’ problems and physicians’ difficulties

verfasst von: Dorothee Speiser, Shazia Malik, Malgorzata Lanowska, Anne Bartens, Jens-Uwe Blohmer, Mandy Mangler

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 3/2017

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Abstract

Purpose

Patients after radical vaginal trachelectomy (RVT) need specific follow-up treatment because their problems differ from those of other gyneco-oncologic patients. Anatomic changes after surgery complicate examinations. Recognition and treatment of these issues require physician’s expertise.

Patients and methods

We evaluated the follow-up data of 70 patients who underwent RVT for early cervical cancer between 03/2010 and 12/2013. The follow-up interval in the first 2 years was 3 and 6 months in the following 2 years. We used a tailored protocol to describe the special problems after RVT.

Results

Cervical stenosis was one of the central problems independent of time interval to RVT. Physicians’ most significant problem was to locate the exact position of the neo-cervix and thus to receive valid pap smears.

Conclusions

Follow-up of patients after RVT needs special expertise because the symptoms differ from those after hysterectomy and examinations ensuring oncologic safety require special attention.

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Titel: Follow-up after radical vaginal trachelectomy (RVT): patients’ problems and physicians’ difficulties
verfasst von: Dorothee Speiser
Shazia Malik
Malgorzata Lanowska
Anne Bartens
Jens-Uwe Blohmer
Mandy Mangler
Publikationsdatum: 17.07.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 3/2017
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-017-4463-0

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Follow-up after radical vaginal trachelectomy (RVT): patients’ problems and physicians’ difficulties

Abstract

Purpose

Patients and methods

Results

Conclusions

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Abstract

Purpose

Patients and methods

Results

Conclusions

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