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First Successful Full Term Pregnancy Outcome in Latvia Following a Radical Trachelectomy for the Patient with a Combined Pathology of a Cervical Cancer and Severe Subfertility

Summary Traditionally the treatment for invasive cervical carcinoma which has progressed beyond micro invasion has been radical hysterectomy, unfortunately directly affecting fertility. Long term experience of radical surgery for Stage IB carcinoma has shown that it produces excellent results in terms of survival; however there is always a loss of potential for future fertility. Increasingly large numbers of young women (24-35 years) are being diagnosed with cervical cancer (7). Saving uterus where is safely possible is the main challenge to a surgeon as the loss of fertility for women can be devastating. Approximately one-third of infertility is attributed to the female partner, one-third attributed to the male partner and one-third is caused by a combination of problems in both partners. The incidence of a cervical cancer diagnosis in reproductive age women has increased in parallel to the quality in diagnostic in Latvia. However along with a scientifically evident knowledge, new surgical techniques and modern technologies we have recently started implementation of a fertility saving surgeries.