Does radical hysterectomy treat womb cancer?

A radical hysterectomy removes the womb and cervix, together with nearby tissues; surgeons may also assess or remove lymph nodes. The operation is more extensive than a simple hysterectomy. For womb cancer, the choice depends on the tumour's type, position and spread, as well as your overall health. Other treatments may be needed before or after surgery, or surgery may not be the right approach.

Your specialist may discuss fertility, menopause, bladder or bowel changes, sexual wellbeing and recovery before recommending an operation.

Take your biopsy and scan results to a gynaecological cancer team. Ask how the proposed operation fits your stage and whether a less extensive operation, radiotherapy or drug treatment could be considered. Before surgery, discuss preparation, hospital stay, pain control, activity limits and symptoms that need review.

Contact your care team promptly for heavy vaginal bleeding, worsening pelvic pain, fever, faintness or new shortness of breath. After surgery, increasing redness or discharge from a wound, inability to pass urine, or persistent vomiting also needs timely medical advice.

Which parts of the operation are recommended for my cancer? How will lymph nodes be assessed? What changes might I notice with urination, bowel function or sexual activity? What follow-up and additional treatment might I need?