Vaginal radical trachelectomy: An update

The vaginal radical trachelectomy has emerged as a valuable fertility-preserving treatment option for young women With early-stage disease. Cancer-related infertility is associated with feelings of depression, grief, stress, and sexual dysfunction. Data have shown that the overall oncological outcome is safe and that the obstetrical outcome is promising. In this article, we analyze the data on the vaginal radical trachelectomy published over the last 10years in the context of what we have learned, what issues remain unclear, and what the future holds. (C) 2008 Elsevier Inc. All rights reserved.