First clinical uterus transplantation trial A six-month report

The 6-month results of the first clinical trial of uterus transplantation are presented. The feasibility of live donor uterus transplantation with a low-dose immunosuppressive protocol is demonstrated.

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Authors

Mats Brännström, M.D., Ph.D., Liza Johannesson, M.D., Ph.D., Pernilla Dahm-Kähler, M.D., Ph.D., Anders Enskog, M.D., Ph.D., Johan Mölne, M.D., Ph.D., Niclas Kvarnström, M.D., Cesar Diaz-Garcia, M.D., Ash Hanafy, M.D., Cecilia Lundmark, B.Sc., Janusz Marcickiewicz, M.D., Ph.D., Markus Gäbel, M.D., Klaus Groth, M.D., Ph.D., Randa Akouri, M.D., Ph.D., Saskia Eklind, M.D., Ph.D., Jan Holgersson, M.D., Ph.D., Andreas Tzakis, M.D., Michael Olausson, M.D., Ph.D.

Volume 101, Issue 5, Pages 1228–1236

Abstract

Objective:

To report the 6-month results of the first clinical uterus transplantation (UTx) trial. This type of transplantation may become a treatment of absolute uterine-factor infertility (AUFI).

Design:

Prospective observational study.

Setting:

University hospital.

Patient(s):

Nine AUFI women and their live uterine donors, the majority being mothers.

Intervention(s):

Live-donor UTx and low-dose induction immunosuppression.

Main Outcome Measure(s):

Data from preoperative investigations, surgery and follow-up for 6 months.

Result(s):

Durations of donor and recipient surgery ranged from 10 to 13 hours and from 4 to 6 hours, respectively. No immediate perioperative complications occurred in any of the recipients. After 6 months, seven uteri remained viable with regular menses. Mild rejection episodes occurred in four of these patients. These rejection episodes were effectively reversed by corticosteroid boluses. The two graft losses were because of acute bilateral thrombotic uterine artery occlusions and persistent intrauterine infection.

Conclusion(s):

The results demonstrate the feasibility of live-donor UTx with a low-dose immunosuppressive protocol.

Clinical trial registration number:

NCT01844362

Read the full text at: http://www.fertstert.org/article/S0015-0282(14)00177-0/fulltext


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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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