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

Lim, You Jin; Kim, Chung Hoon; Kim, Joo Yuen; Kwon, Su Kyoung; Shim, Jae Yoon; Kim, Sung Hun; Chae, Hee Dong; Kim, Yong Man; Kang, Byung Moon

doi:2011.54.9.553

Case Report

Korean Journal of Obstetrics & Gynecology 2011;54(9):553-556.
DOI: https://doi.org/10.5468/KJOG.2011.54.9.553 Published online September 1, 2011.

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

You Jin Lim, Chung Hoon Kim, Joo Yuen Kim, Su Kyoung Kwon, Jae Yoon Shim, Sung Hun Kim, Hee Dong Chae, Yong Man Kim, Byung Moon Kang

Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. chnkim@amc.seoul.kr

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.

Key Words: Cervical cancer, Laparoscopic radical trachelectomy, Isthmic stenosis, Isthmic dilatation