Uterus transplantation: current progress and future prospects.

Liza Johannesson, Stina Järvholm
Author Information
  1. Liza Johannesson: Department of Obstetrics and Gynecology, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.
  2. Stina Järvholm: Department of Obstetrics and Gynecology, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.

Abstract

Even if reproductive medicine has been remarkably successful during the past few decades, with the introduction of in vitro fertilization in the late 1970s and intracytoplasmic sperm injection in the early 1990s, it has been repeatedly mocked by infertility due to an absolute uterine factor. No treatment has been available for the women suffering from an absent or dysfunctional uterus, in terms of carrying a pregnancy. Approximately one in 500 women suffer from absolute uterine infertility, and the option so far to become a mother has been to either adopt or utilize gestational surrogacy. As of today, a total of eleven cases of human uterus transplantations have been reported worldwide, conducted in three different countries. The results of these initial experimental cases far exceed what might be expected of a novel surgical method. Many more uterus transplantations are to be expected in the near future, as other research teams' preparations are being ready to be put into clinical practice. In this review, we summarize the current worldwide experience of uterus transplantation as a treatment of absolute uterine factor infertility and the future prospects of human uterus transplantation.

Keywords

References

  1. Cell Tissue Bank. 2010 Nov;11(4):413-9 [PMID: 21235034]
  2. Fertil Steril. 2008 Sep;90(3):817-26 [PMID: 17904131]
  3. Lancet. 2015 Feb 14;385(9968):607-16 [PMID: 25301505]
  4. Am J Transplant. 2013 Nov;13(11):2924-34 [PMID: 24011252]
  5. Liver Transpl. 2001 Jun;7(6):485-93 [PMID: 11443574]
  6. Pediatr Nephrol. 2002 Feb;17(2):121-30 [PMID: 11875675]
  7. J Obstet Gynaecol Res. 2006 Aug;32(4):358-67 [PMID: 16882260]
  8. Am J Transplant. 2015 Jan;15 Suppl 2:1-28 [PMID: 25626341]
  9. Acta Obstet Gynecol Scand. 2010 Nov;89(11):1491-4 [PMID: 20879912]
  10. Am J Transplant. 2015 Jan;15 Suppl 2:1-34 [PMID: 25626344]
  11. Am J Transplant. 2015 Jan;15 Suppl 2:1-16 [PMID: 25626347]
  12. Lupus. 2004;13(9):746-50 [PMID: 15485116]
  13. Clin Transpl. 2006;:57-70 [PMID: 18368705]
  14. Fertil Steril. 2013 Feb;99(2):470-6 [PMID: 23084266]
  15. Transplant Proc. 2003 Dec;35(8):2961-3 [PMID: 14697949]
  16. Int Surg. 2008 Nov-Dec;93(6):366-72 [PMID: 20085047]
  17. Transplantation. 2007 May 27;83(10 ):1301-7 [PMID: 17519778]
  18. Transplant Proc. 2015 Jun;47(5):1442-4 [PMID: 26093738]
  19. Fertil Steril. 2012 Jun;97(6):1269-76 [PMID: 22542990]
  20. Fertil Steril. 2014 May;101(5):1228-36 [PMID: 24582522]
  21. Nephrol Dial Transplant. 2001 Jun;16(6):1130-1 [PMID: 11390710]
  22. Fertil Steril. 2013 Nov;100(5):1358-63 [PMID: 23830110]
  23. Acta Obstet Gynecol Scand. 2015 Jul;94(7):675-9 [PMID: 25958784]
  24. JAMA. 2005 Apr 20;293(15):1883-90 [PMID: 15840863]
  25. Fertil Steril. 2015 Jan;103(1):199-204 [PMID: 25439846]
  26. Acta Obstet Gynecol Scand. 2015 Oct;94(10):1035-8 [PMID: 26073658]
  27. PLoS One. 2008 Jun 25;3(6):e2468 [PMID: 18575623]
  28. Adv Chronic Kidney Dis. 2012 Jul;19(4):237-43 [PMID: 22732043]
  29. Am J Transplant. 2006 Dec;6(12):2965-77 [PMID: 17294524]
  30. Obstet Gynecol. 2007 Jan;109(1):101-4 [PMID: 17197594]
  31. Nephrol Dial Transplant. 2006 Jun;21(6):1689-96 [PMID: 16490743]
  32. Fertil Steril. 2013 Dec;100(6):e41 [PMID: 23880349]
  33. Hum Reprod. 2003 Oct;18(10):2024-30 [PMID: 14507816]
  34. Obstet Gynecol. 1967 Mar;29(3):318-23 [PMID: 5335308]
  35. Transplant Rev (Orlando). 2008 Jul;22(3):192-5 [PMID: 18631877]
  36. Hum Reprod. 2011 Mar;26(3):553-8 [PMID: 21159686]
  37. Int J Gynaecol Obstet. 2002 Mar;76(3):245-51 [PMID: 11880127]
  38. Acta Obstet Gynecol Scand. 2015 Sep;94(9):942-8 [PMID: 26095999]
  39. Acta Biomater. 2014 Dec;10(12):5034-42 [PMID: 25169258]
  40. N Engl J Med. 2006 Mar 23;354(12):1281-93 [PMID: 16554530]
  41. Transplantation. 2012 Jul 15;94(1):77-83 [PMID: 22691958]
  42. Qual Life Res. 2015 Dec;24(12):2833-42 [PMID: 26149394]
  43. Liver Transpl. 2009 Dec;15(12):1676-87 [PMID: 19938145]
  44. Hum Reprod. 2012 Jun;27(6):1640-8 [PMID: 22454459]
  45. J Transplant. 2011;2011:626501 [PMID: 21766008]
  46. Kidney Int. 2005 Jan;67(1):341-8 [PMID: 15610260]
  47. Clin Transpl. 2004;:103-14 [PMID: 16704142]
  48. Hum Reprod. 2013 Jan;28(1):189-98 [PMID: 23108346]
  49. Am J Transplant. 2013 Oct;13(10):2672-84 [PMID: 23924065]
  50. Acta Obstet Gynecol Scand. 2008;87(11):1239-47 [PMID: 18951268]
  51. Am J Transplant. 2015 Jan;15 Suppl 2:1-28 [PMID: 25626342]
  52. Am J Transplant. 2015 Jan;15 Suppl 2:1-28 [PMID: 25626345]
  53. Hum Reprod. 2012 Aug;27(8):2332-40 [PMID: 22647448]
  54. Hum Reprod. 2003 Oct;18(10):2018-23 [PMID: 14507815]
  55. Liver Transpl. 2010 Dec;16(12):1352-8 [PMID: 21117194]
  56. Transplantation. 1999 Feb 15;67(3):343-8 [PMID: 10030276]
  57. J Obstet Gynaecol Res. 2008 Oct;34(5):784-93 [PMID: 18834335]

Word Cloud

Created with Highcharts 10.0.0uterusinfertilityabsoluteuterinefuturetransplantationfactortreatmentwomenfarcaseshumantransplantationsworldwideexpectedcurrentprospectsEvenreproductivemedicineremarkablysuccessfulpastdecadesintroductionvitrofertilizationlate1970sintracytoplasmicsperminjectionearly1990srepeatedlymockeddueavailablesufferingabsentdysfunctionaltermscarryingpregnancyApproximatelyone500sufferoptionbecomemothereitheradoptutilizegestationalsurrogacytodaytotalelevenreportedconductedthreedifferentcountriesresultsinitialexperimentalexceedmightnovelsurgicalmethodManynearresearchteams'preparationsreadyputclinicalpracticereviewsummarizeexperienceUterustransplantation:progress

Similar Articles

Cited By