Korean J Obstet Gynecol.  2011 Sep;54(9):553-556. 10.5468/KJOG.2011.54.9.553.

A case of successful pregnancy by intrauterine insemination following isthmic dilatation due to isthmic stenosis after laparoscopic radical trachelectomy

• Lim YJ
• Kim CH
• Kim JY
• Kwon SK
• Shim JY
• Kim SH
• Chae HD
• Kim YM
• Kang BM

• KMID: 2274083
• DOI: http://doi.org/10.5468/KJOG.2011.54.9.553

Abstract

Uterine cervical cancer is one of the most common malignant disease in women. For young patients with early stage cervical cancer who want to preserve their fertility, radical trachelectomy is a promising fertility-sparing treatment in well-selected group of patients. However, isthmic stenosis is reported to occur in 15% of patients who received radical trachelectomy. Isthmic stenosis is one of causes of infertility following radical trachelectomy. In addition patients who underwent radical trachelectomy are at high risk of obstetric complications including preterm labor, premature rupture of membrane and preterm delivery. Herein we report a case of successful pregnancy and childbirth by intrauterine insemination following isthmic dilatation due to isthmic stenosis after laparoscopic trachelectomy with a brief review of the literature.

Keyword

Cervical cancer; Laparoscopic radical trachelectomy; Isthmic stenosis; Isthmic dilatation

MeSH Terms

Constriction, Pathologic
Dilatation
Female
Fertility
Humans
Infertility
Insemination
Membranes
Obstetric Labor, Premature
Parturition
Pregnancy
Rupture
Uterine Cervical Neoplasms

Figure

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  Fig. 1 Cervix specimen after radical trachelectomy.

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  Fig. 2 Diagram of isthmic opening location after radical trachelectomy.

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  Fig. 3 Catheter which was used for isthmic dilatation.

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