Outcome of Fertility-Sparing Surgery in Young Cervical Surgery Patients

Open Access

Abstract

Background: Fertility-sparing surgery has emerged as an important treatment option for young women with early-stage cervical cancer who desire future childbearing. Aim of the study: To evaluate oncological safety, reproductive outcomes, and postoperative complications following fertility-sparing surgery in young cervical cancer patients. Methods & Methods: This observational study was conducted over 2 years in a tertiary hospital in Bangladesh, including 15 patients aged ≤40 years with FIGO stage IA1-IB1 cervical cancer. Patients underwent radical trachelectomy, simple trachelectomy, or conization based on clinical indications. Data on socio-demographic, clinical, surgical, oncological, and fertility outcomes were collected and analyzed using SPSS version 26. Descriptive statistics were applied, and outcomes were assessed over a mean follow-up of 24±3 months. Result: The mean age was 28.6 ± 4.1 years, with most patients in stage IB1 (46.67%). Radical trachelectomy was the most common procedure (66.67%). Mean operative time was 145 ± 28 minutes and blood loss 180 ± 60 ml. Postoperative complications occurred in 26.67% of patients. Disease-free survival was 93.33%, with a recurrence rate of 6.67%. Among 10 patients attempting conception, 60.00% achieved pregnancy, resulting in 40.00% live births, 10.00% miscarriage, and 20.00% preterm delivery. Conclusion: Fertility-sparing surgery is a safe and effective option in selected early-stage cervical cancer patients, offering favorable oncological control and promising reproductive outcomes.