Cervix can it be removed
I only had my one son, but I had always wanted four children. If they were hugging me and crying for me, I would have completely broken down. It was my way of staying strong by protecting them. But eventually I told more people, including one of my managers I also work as a gymnastics coach. She urged me to get a second opinion. But she kept nagging, so I agreed to do it. I found another doctor online at Holy Name Medical Center in New Jersey who had experience in cervical cancer treatment and seemed to be involved in the community, which showed me that she was a caring person.
She got me into her office very quickly. That was surprising; I had to wait so long for my other doctor appointments. But she said I had another option. She went on to explain the details of my tumor and my particular situation, which no other doctor had previously done.
She explained the procedure: I would keep my uterus, and she would remove just my cervix and lymph nodes. I loved that she explained my tumor to me. It pushed me to go through all my paperwork so I could better understand my diagnosis and treatment. It was relieving that I had another option, but now I had to make a decision about what route to take: the very well-known route or the route that I had never heard about before.
I wanted pregnancy to be an option, so I decided to go with the trachelectomy. I had planned to tell my son about my diagnosis at the end of August, but that week we coincidentally had a family friend die of cervical cancer. I waited until my surgery was coming up in September. The day of the surgery was rough. However, depending on the size and shape of your uterus or the reason for the surgery, vaginal hysterectomy might not be possible. Your doctor will talk to you about other surgical options, such as an abdominal hysterectomy.
Hysterectomy often includes removal of the cervix as well as the uterus. All of these organs are part of your reproductive system and are situated in your pelvis. For most of these conditions — with the possible exception of cancer — hysterectomy is just one of several treatment options. You might not need to consider hysterectomy if medications or less invasive gynecological procedures manage your symptoms. You cannot become pregnant after a hysterectomy. Although vaginal hysterectomy is generally safe, any surgery has risks.
Risks of vaginal hysterectomy include:. Severe endometriosis or scar tissue pelvic adhesions might force your surgeon to switch from vaginal hysterectomy to laparoscopic or abdominal hysterectomy during the surgery. Talk with your doctor about what to expect during and after a vaginal hysterectomy, including physical and emotional effects. You might have a urinary catheter inserted to empty your bladder. A member of your surgical team will clean the surgical area with a sterile solution before surgery.
Except in cases of suspected uterine cancer, the surgeon might cut an enlarged uterus into smaller pieces and remove it in sections morcellation. You might be a candidate for a laparoscopically assisted vaginal hysterectomy LAVH or robotic hysterectomy. Both procedures allow your surgeon to remove the uterus vaginally while being able to see your pelvic organs through a slender viewing instrument called a laparoscope.
Your surgeon performs most of the procedure through small abdominal incisions aided by long, thin surgical instruments inserted through the incisions. Your surgeon then removes the uterus through an incision made in your vagina. Your surgeon might recommend LAVH or robotic hysterectomy if you have scar tissue on your pelvic organs from prior surgeries or from endometriosis. The rest of the uterus is left in place.
The surgeon may use different approaches to do a Trachelectomy:. At the end of the surgery, the surgeon uses a special stitch called cerclage to partially close the opening of the uterus where the cervix used to be. A temporary catheter may be placed in the opening to help keep it from closing. The cervical tissue that is removed during surgery is examined under a microscope to see if there are any cancer cells. If there are cancer cells at the edge of the removed tissues called positive surgical margins , the surgeon may try to remove more tissue.
In some cases, the surgeon may need to do a hysterectomy to make sure that all of the cancer is removed.. If a catheter was placed in the artificial opening between the vagina and uterus, it will be removed about 3 weeks after the surgery. Follow-up after a Trachelectomy will usually include sampling tissue at the site of surgery similar to a Pap test procedure and a Colposcopy, Every 3—4 months for the first 2—3 years after surgery.
Located in sunny St. Trachelectomy Cervix Removal A Trachelectomy Cervix Removal is the surgical removal of cervix which is the neck of the uterus. Before the Procedure Your physician will also conduct a full physical exam—including blood and imaging tests—on you and your partner to determine your candidacy.