Trachelectomy and Cerclage Placement as Fertility-Sparing Surgery for Cervical Cancer—An Expert Survey

Anke Smits & Petra L. M. Zusterzeel et al. · 2025

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TL;DR

The majority of experts opt for radical trachelectomy in early stage cervical cancer, with immediate cerclage placement being a common practice, however, considerable international variations highlight the urgent need for standardized guidelines and further research to optimize treatment strategies, balancing oncological safety with fertility outcomes.

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Authors
Anke Smits, Janneke T. Wolswinkel, Mieke L. G. ten Eikelder, Nadeem R. Abu-Rustum, Glauco Baiocchi, Jogchum J. Beltman, Allan Covens, Karlijn M. C. Cornel, Henrik Falconer, Christina Fotopoulou, Cornelis G. Gerestein, Blanca Gil-Ibanez, Peter Hillemanns, Christhardt Köhler, Ali Kucukmetin, Luc R. C. W. van Lonkhuijzen, Philippe Morice, Joo Hyun Nam, Myriam B. Perrotta, Jan Persson, Marie Plante, Denis Querleu, Reitan Ribeiro, Laszlo Ungár, Maaike A. P. C. van Ham, Petra L. M. Zusterzeel