What post-treatment surveillance strategy do you employ for patients who undergo conservative fertility-sparing surgery for early-stage cervical cancer?

For patients undergoing fertility-sparing surgery for early-stage cervical cancer not dissimilarly to any other patient treated for early-stage cervical cancer. I would recommend that the patient undergo a history and exam, including a pelvic exam, every 3 months for the first 2 years, then every 6 months to complete 5 years of surveillance. I would recommend cervical cytology and HPV testing at 6 months post-op and then annually. At 5 years, I would have the patient return to the routine cervic...

I use the same post-treatment surveillance after fertility-sparing surgery as I would for non-fertility sparing; follow-up every 3 months for 2 years with vaginal exams at every follow-up and biopsies of suspicious lesions with routine paps every year, followed by routine visits every 6 months for the following 3 years with yearly pap smears. I generally do not do PET scans routinely but if there was any suspicion for a cervical lesion or new symptoms, or if there had been anything borderline or...

It depends on how long the follow-up has been and whether the patient has been compliant with follow-up exams, scans, etc. If it has taken 5 years or longer for the patient to have completed childbearing and she has been compliant with follow-up and there have been no clinical issues related to cervical cancer, I don't typically offer completion hysterectomy.

Serial cervical cytology with endocervical curettage q3mos x 2 years, then q6mos.