Follow-up after radical vaginal trachelectomy (RVT): patients’ problems and physicians’ difficulties View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-09

AUTHORS

Dorothee Speiser, Shazia Malik, Malgorzata Lanowska, Anne Bartens, Jens-Uwe Blohmer, Mandy Mangler

ABSTRACT

PURPOSE: Patients after radical vaginal trachelectomy (RVT) need specific follow-up treatment because their problems differ from those of other gyneco-oncologic patients. Anatomic changes after surgery complicate examinations. Recognition and treatment of these issues require physician's expertise. PATIENTS AND METHODS: We evaluated the follow-up data of 70 patients who underwent RVT for early cervical cancer between 03/2010 and 12/2013. The follow-up interval in the first 2 years was 3 and 6 months in the following 2 years. We used a tailored protocol to describe the special problems after RVT. RESULTS: Cervical stenosis was one of the central problems independent of time interval to RVT. Physicians' most significant problem was to locate the exact position of the neo-cervix and thus to receive valid pap smears. CONCLUSIONS: Follow-up of patients after RVT needs special expertise because the symptoms differ from those after hysterectomy and examinations ensuring oncologic safety require special attention. More... »

PAGES

559-564

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00404-017-4463-0

DOI

http://dx.doi.org/10.1007/s00404-017-4463-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1090741503

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28717824


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