Speiser D, et al. – This study is carried out to determine whether patients after radical vaginal trachelectomy (RVT) need specific follow–up treatment. The outcome suggests that follow–up of patients after RVT requires special expertise because the symptoms differ from those after hysterectomy and examinations ensuring oncologic safety require special attention.

Methods

• In this study, they assessed 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.
• They utilized a tailored protocol to depict the special problems after RVT.

Results

• The cureent study showed that the 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.