Objectives To present our experience of 13 cases of abdominal trachelectomy with preservation of the uterine artery and pelvic lymphadenectomy and its obstetric results.

Material and methods From January 2012 to June 2016, eight FIGO IB1 clinical stage women underwent treatment with radical trachelectomy plus pelvic lymphadenectomy.

Results There were no positive nodes and the margins were always negative. The follow-up of them has shown us nine pregnancies with preterm products in four and two at term. The hospitalization was 4 days (average 3–6 days). The estimated average blood loss of 220 mL (range 50–600 mL). The complication presented was a bruise.

Conclusions The results have shown the gynecologists-oncologists towards the preservation of fertility in this group of patients with preservation of the uterine artery. This arises because of the coexistence of these neoplasms with the increasingly delayed onset of maternity, this forces us to know the anatomy in order to provide better treatment options.