Endometrial cancer in stage II can either be treated with a radical hysterectomy or a hysterectomy followed by radiation therapy. As per January 2006, there are no studies comparing the effect and morbidity of the two treatment alternatives. At Oslo University Hospital, a radical hysterectomy is performed when MRI shows involvement of cervical stroma.
Difficulty emptying the bladder is a serious side effect after a radical hysterectomy due to damage to the autonomous nerves of the bladder during the operation. It is therefore very important to avoid these nerves during the operation.
During the operation, the sacrouterine and cardinal ligaments are divided 2-3 cm from the cervix. This is to remove possible micrometastases near the cervix.
Pelvic and paraaortal lymph node staging is always performed for these patients.