When is radical hysterectomy recommended for cervical cancer?

A radical hysterectomy removes the uterus and cervix together with nearby tissues around the cervix. The surgical team may also assess or remove lymph nodes to understand whether cancer has spread. The operation is considered using examination findings, biopsy results, scans, tumour size and position, lymph-node information, overall health, and personal priorities. It is not suitable for every cervical cancer. When disease extends beyond an area that surgery can remove effectively, chemoradiation or another approach may be discussed instead. The operation usually ends the ability to carry a pregnancy.

Ask for a discussion with a gynaecological cancer surgeon and the wider oncology team. Review the proposed operation, possible lymph-node assessment, hospital recovery, bladder and bowel effects, sexual health, menopause, fertility, and options for emotional support. Share previous operations, medical conditions, medicines, allergies, and any wish to discuss fertility preservation before treatment begins.

After surgery, seek urgent advice for heavy bleeding, fever, worsening abdominal pain, chest pain, breathing difficulty, a swollen painful leg, inability to pass urine, or new leakage that concerns you. Before treatment, contact the team promptly for heavy bleeding, severe pelvic pain, fainting, or rapidly worsening symptoms so they can assess you without assuming the cause.

Why is surgery suitable for my tumour? What tissues and lymph nodes may be removed? Would another treatment be safer or more effective for my situation? How could surgery affect fertility, bladder function, bowel function, sex, and hormones? What recovery support will I receive? Which warning signs need urgent review?