Live or Deceased Uterus Donor

Abstract

Most centers performing uterus transplantations do this as part of a study-which is the recommendation of the International Society of Uterus Transplantation (ISUTx). Results from several studies from all over the world will be the base for further recommendations, also in regard to the choice between live or deceased donors. It is a fair assumption that both modalities will exist, especially in large units with experience from other solid organ transplantations. The advantages of a live donor include extensive knowledge of hysterectomies, elective instead of acute procedure with opportunity of better donor evaluation, and positive experiences from ongoing trials of live donor procedures. The advantages of deceased donors include better availability of donor vessels and no morbidity of a live donor. Until further results from ongoing studies exist, local medicolegal factors and ethical traditions will be the guiding principles for which modality of organ donation will be used in uterus transplantation. © Springer Nature Switzerland AG 2020