TY - JOUR T1 - Fertility Outcome After Radical Vaginal Trachelectomy: A Prospective Study of 212 Patients JF - International Journal of Gynecologic Cancer JO - Int J Gynecol Cancer SP - 1635 LP - 1639 DO - 10.1097/IGC.0b013e3182230294 VL - 21 IS - 9 AU - Dorothee Speiser AU - Mandy Mangler AU - Christhardt Köhler AU - Kati Hasenbein AU - Hermann Hertel AU - Vito Chiantera AU - Elisabeth Gottschalk AU - Malgorzata Lanowska Y1 - 2011/11/01 UR - http://ijgc.bmj.com/content/21/9/1635.abstract N2 - Objective For treatment in patients with early-stage cervical cancer, radical vaginal trachelectomy (RVT) as a fertility-preserving surgery can be put on a par with radical hysterectomy as to oncologic safety. Our aim was to investigate the fertility concerns and outcome.Methods Prospective collection of fertility data of patients treated with RVT. The data were collected on personal communication, by telephone, or e-mail correspondence. Descriptive statistical analysis was performed.Results Between March 2005 and April 2010, 212 patients were followed up after RVT. Only 76 patients (35.9%) were seeking parenthood currently. Sixty pregnancies occurred in 50 women. Five patients (8.3%) had first-trimester miscarriage, 3 had second-trimester miscarriage (5.0%), 2 patients decided for pregnancy termination (3.3%), and 1 patient (1.7%) had an ectopic pregnancy. Three women (5.0%) delivered prematurely before 28th weeks of gestation, 15 (25.0%) delivered between 28 and 36 weeks, and 27 women (45.0%) reached full term. Four pregnancies are ongoing.Conclusions Preservation of childbearing function is a great advantage for patients with early-stage cervical cancer. Many patients do not seek parenthood immediately. We see no impairment of fertility and have solid data on pregnancy outcome. Premature labor is the main problem in pregnancy after RVT. ER -