Current status of uterus transplantation 

 

◉ First uterus transplant to deliver a baby in 2014

◉ Uterine transplantation does not involve a vas deferens transplant, which must be followed by IVF treatment in the future

◉ Absolute uterine factor infertility affects 1:500 women of childbearing age

◉ Complications after uterine transplantation are 9/54 (17%), mostly related to the urinary system, such as hydronephrosis, ureteral fistula, and hypotensive bladder.

◉ End-to-end anastomosis of the internal iliac artery with the lateral iliac artery

◉ Lateral anastomosis of the uterine ovarian vein to the external iliac vein.

◉ The most common complication is early graft failure, which occurs in 23% cases within the first few months after transplantation, and is mainly due to thrombosis or inadequate perfusion of the graft vessels, leading to uterine necrosis

◉ Another complication is suture vaginal stenosis, which usually occurs a few months after transplantation.721 TP3T developed vaginal stenosis, half of which were treated with non-surgical dilatation, and the rest were treated with surgery