Because of better diagnostic methods and an increasing public awareness, more pelvic cancer is being found in younger women.
This particular group of women are at the acme of their family responsibility. It is the obligation of the physician treating these women, be it for an attempted cure or for palliation, to return them to their family situations with a minimum of emotional and physical disturbance.
The majority of patients with cancer of the cervix are treated by irradiation. Preservation of the vagina is just as important in these women but not within the scope of this presentation.The patients who are selected for surgery fall into two groups. The first group includes patients with carcinoma in situ and selected younger women with Stage I and Stage II-A cancer of the cervix. The second group includes those patients who have not responded to irradiation or have had a