Does hysterectomy treat cervical cancer?

A hysterectomy can treat some cervical cancers when the tumour is suitable for surgery. The operation removes the womb and cervix, and the surgeon may also remove nearby tissues or lymph nodes. It is not appropriate for every stage, size, or pattern of spread, so imaging and examination guide the recommendation.

For selected cervical cancer, surgery may remove the visible tumour with a clear surrounding margin. The exact operation can vary, and removal of the ovaries is a separate decision that depends on age, tumour features, and treatment planning. Radiotherapy, chemotherapy, or other treatment may be advised before or after surgery, or instead of surgery, when the cancer extends beyond an area that an operation can safely remove. A pathology report after surgery helps determine whether further treatment is needed.

Ask the gynaecological cancer team what the scans show and which operation is being considered. Discuss fertility, periods, sexual health, menopause symptoms, recovery, and whether lymph nodes or other tissues may be removed. Bring a list of medicines and medical conditions. A second specialist opinion can help if the options or goals are unclear.

After surgery, contact the care team for heavy bleeding, worsening pain, fever, wound redness or discharge, leg swelling, or difficulty passing urine. Seek emergency help for severe breathlessness, chest pain, fainting, or sudden confusion. Before treatment, report new heavy bleeding or rapidly worsening pelvic pain promptly so it can be assessed.

Is surgery suitable for my stage and tumour size? What would the operation remove? Could I need radiotherapy or chemotherapy as well? How might treatment affect fertility, hormones, and sexual health? What symptoms after surgery require urgent advice?