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Simple Hysterectomy Matches Radical Approach in Low-Risk Cervical Cancer, with Fewer Urologic Concerns

2 Mar 2024 • In low-risk cervical cancer patients, a 4.5-year follow-up study revealed that simple hysterectomy demonstrated comparable effectiveness to radical hysterectomy in terms of the 3-year pelvic recurrence rates (2.17% vs. 2.52%).

Radical hysterectomy remains the standard of care for the treatment of early-stage cervical cancer. However, recent studies suggest no difference in overall survival between patients who undergo radical hysterectomy and those who undergo simple hysterectomy for cervical cancer that is stage IA2 according to the 2009 FIGO staging system

Moreover, the simple hysterectomy approach exhibited reduced risks of urinary incontinence and retention, both within the initial 4 weeks post-surgery and in the longer term.

Source: NEJM | Read full story

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