In the Querleu-Morrow classification of radical hysterectomy, which type denotes nerve-sparing radical hysterectomy with preservation of the autonomic pelvic nerves?

• A Type A
• B Type B2
• C Type D2
• D Type C1 ✓

Explanation

The Querleu-Morrow system grades radicality by lateral extent of resection: A is extrafascial, B is medial parametrial resection, D is conventional radical hysterectomy with full parametrectomy, and C covers laterally extended resections. Adding 1 to D gives D1, indicating preservation of the hypogastric plexus and splanchnic nerves, which reduces postoperative bladder and bowel dysfunction without compromising oncological outcome.

Reference: Williams Gynecology, 4th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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