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Cervical Cancer Surgery

Cervical cancer is among the gynecological cancers that can be prevented through screening and early diagnosis methods.
In early-stage cases, complete cure is possible with surgical treatment. The treatment approach is planned according to the stage of the disease, the desire for fertility, and the general health condition. Surgical treatment should be performed by a gynecological oncology surgeon.

Image of a hysterectomy surgery for cervical cancer.

Early Detection of Cervical Cancer

  • HPV tests and smear tests are used together as screening tests.

  • In cases of abnormal results, colposcopy and, if necessary, biopsy are performed.

  • Early diagnosis makes it possible to catch the disease in an advanced stage and preserve the uterus.

Treatment Options

Treatment for cervical cancer is planned according to the stage:

  • Preinvasive stage (CIN 3 / carcinoma in situ):
    Treatment can be performed while preserving the uterus using conization or LEEP procedures.

  • Early stage (Stage IA–IB1):
    In suitable cases, fertility-preserving surgery (radical trachelectomy) can be performed.

  • Advanced stage (Stage IB2 and above):
    In addition to surgery, radiotherapy and chemotherapy may be necessary.

Laparoscopic Radical Hysterectomy

As a modern treatment approach, it is possible to remove the uterus and surrounding tissues using a closed (laparoscopic) method.
This technique:

  • Less blood loss,

  • Less pain,

  • Shorter hospital stay
    It provides advantages.
    In addition, unnecessary lymph node removal can be prevented with sentinel lymph node mapping.

Postoperative Follow-up

  • Depending on the pathology results, additional treatment will be planned if necessary.

  • Check-ups are performed every 3–6 months for the first 2 years, and annually in subsequent years.

  • HPV monitoring and regular gynecological examinations are important.

Frequently Asked Questions (FAQ)

Will menstruation continue after cervical cancer surgery?
If fertility-preserving surgery has been performed, menstruation usually continues. If the uterus has been removed, menstruation stops.

Can HPV infection develop into cervical cancer?
Long-term infection with high-risk HPV types can lead to cancer. Regular screening enables early diagnosis.

Is pregnancy possible after cervical cancer surgery?
Pregnancy is possible after radical trachelectomy in suitable cases, but careful monitoring is required.

© 2026 by Burak Tatar

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