{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T05:23:42Z","timestamp":1761629022878,"version":"build-2065373602"},"reference-count":18,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T00:00:00Z","timestamp":1761350400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100015269","name":"Hungarian Government","doi-asserted-by":"publisher","award":["RRF-2.3.1-21-2022-00012"],"award-info":[{"award-number":["RRF-2.3.1-21-2022-00012"]}],"id":[{"id":"10.13039\/501100015269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>Background: Uterus transplantation (UTx) is a proven treatment for individuals affected by absolute uterine factor infertility (AUFI) who desire biological motherhood. Despite the fact that over 130 procedures have been performed worldwide in the past decade, UTx remains relatively unfamiliar, even among healthcare professionals. This study aimed to identify knowledge gaps regarding and evaluate attitudes toward UTx among Hungarian obstetricians\/gynecologists and transplantation providers, in anticipation of the first procedure to be performed in the country. Methods: A Microsoft Forms\u00ae questionnaire was distributed electronically among Hungarian medical professionals via e-mail, including members of the Hungarian Society of Obstetrics and Gynaecology and the Hungarian Transplantation Society. Additionally, participants of the \u201cUpdate 2024\u201d OB\/GYN conference (held 28\u201329 November 2024, in Visegr\u00e1d, Hungary) were invited to complete the survey through a QR code displayed during the event. Results: A total of 290 medical professionals completed the survey (response rate: 27.6%, 290\/1050). Most of the respondents specialized in obstetrics and gynecology (81.7%, n = 237), with the remainder representing transplantation fields (18.3%, n = 53). Over half (56.6%, n = 161) reported they would recommend UTx to patients with AUFI, and 64.1% (n = 186) agreed that UTx should be available as a treatment option. The medical risks associated with the procedure were deemed acceptable for both living donors (58.0%, n = 168) and recipients (54.8%, n = 159). Conclusions: This is the first study to explore perceptions of UTx among Hungarian medical professionals. The findings suggest there is a generally favorable professional attitude toward its future clinical implementation.<\/jats:p>","DOI":"10.3390\/clinpract15110194","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T02:50:48Z","timestamp":1761533448000},"page":"194","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Medical Professionals\u2019 Opinions of and Attitudes Toward Uterus Transplantation in Hungary"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8148-0745","authenticated-orcid":false,"given":"Kata Szilvia","family":"Papp","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of P\u00e9cs Medical School, 7624 P\u00e9cs, Hungary"},{"name":"Doctoral School of Health Sciences, Faculty of Health Sciences, University of P\u00e9cs, 7621 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Szakaly","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of P\u00e9cs Medical School, 7624 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szilard","family":"Kolumban","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of P\u00e9cs Medical School, 7624 P\u00e9cs, Hungary"},{"name":"Doctoral School of Health Sciences, Faculty of Health Sciences, University of P\u00e9cs, 7621 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K\u00e1lm\u00e1n Andr\u00e1s","family":"Kov\u00e1cs","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of P\u00e9cs Medical School, 7624 P\u00e9cs, Hungary"},{"name":"National Laboratory on Human Reproduction, University of P\u00e9cs, 7624 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jozsef","family":"Bodis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of P\u00e9cs Medical School, 7624 P\u00e9cs, Hungary"},{"name":"National Laboratory on Human Reproduction, University of P\u00e9cs, 7624 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5349-6527","authenticated-orcid":false,"given":"Nelli","family":"Farkas","sequence":"additional","affiliation":[{"name":"Institute of Bioanalysis, University of P\u00e9cs Medical School, 7624 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0910-2081","authenticated-orcid":false,"given":"Gabor","family":"Fazekas","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University of P\u00e9cs Medical School, 7624 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0638-2057","authenticated-orcid":false,"given":"Balint","family":"Farkas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of P\u00e9cs Medical School, 7624 P\u00e9cs, Hungary"},{"name":"National Laboratory on Human Reproduction, University of P\u00e9cs, 7624 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,25]]},"reference":[{"key":"ref_1","first-page":"249","article-title":"Possibilities for fertility restoration: A new surgical technique","volume":"90","author":"Sieunarine","year":"2005","journal-title":"Int. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1007\/s10815-024-03361-w","article-title":"Current legal standpoint on surrogacy in Hungary","volume":"42","author":"Farkas","year":"2024","journal-title":"J. Assist. Reprod. Genet."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1111\/aogs.15080","article-title":"A decade of human uterus transplantation","volume":"104","year":"2025","journal-title":"Acta Obstet. Gynecol. Scand."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1097\/MOT.0000000000000936","article-title":"Uterus transplantation worldwide: Clinical activities and outcomes","volume":"26","author":"Racowsky","year":"2021","journal-title":"Curr. Opin. Organ Transplant."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2271","DOI":"10.1097\/TP.0000000000004188","article-title":"Meeting report: Third International Congress of the International Society of Uterus Transplantation (ISUTx)","volume":"106","author":"Tullius","year":"2022","journal-title":"Transplantation"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1097\/TP.0000000000004286","article-title":"Registry of the International Society of uterus transplantation: First report","volume":"107","author":"Tullius","year":"2023","journal-title":"Transplantation"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1016\/S0140-6736(14)61728-1","article-title":"Livebirth after uterus transplantation","volume":"385","author":"Johannesson","year":"2015","journal-title":"Lancet"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1016\/j.jmig.2018.02.013","article-title":"Uterine Transplantation: A survey of perceptions and attitudes of American reproductive endocrinologists and gynecologic surgeons","volume":"25","author":"Bortoletto","year":"2018","journal-title":"J. Minim. Invasive Gynecol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"56","DOI":"10.7182\/pit2015552","article-title":"Survey of perceptions of health care professionals in the United Kingdom toward uterine transplant","volume":"25","author":"Saso","year":"2015","journal-title":"Prog. Transplant."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Vyas, P., Sader, D., Testa, G., Du, J., Wall, A., and Johannesson, L. (2024). Exploring divergent views: A comparative study of uterus transplantation perceptions among transplant and Obstetrics\/Gynecology providers. J. Clin. Med., 13.","DOI":"10.3390\/jcm13113182"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.mayocpiqo.2019.11.001","article-title":"Provider Knowledge and Support of Uterus Transplantation: Surveying Multidisciplinary Team Members","volume":"4","author":"Riggan","year":"2020","journal-title":"Mayo Clin. Proc. Innov. Qual. Outcomes"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1016\/j.jogc.2018.09.002","article-title":"Provider Perceptions, Opinions, and Insights into Uterine Transplantation in Canada","volume":"41","author":"Balayla","year":"2019","journal-title":"J. Obstet. Gynaecol. Can. JOGC"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1556\/650.2024.33092","article-title":"The experimental uterus autotransplantation sheep model","volume":"14","author":"Farkas","year":"2024","journal-title":"Orvosi Hetil."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1556\/650.2025.33247","article-title":"Surgical steps of organ retrieval from deceased donor for uterus transplantation","volume":"166","author":"Farkas","year":"2025","journal-title":"Orvosi Hetil."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1093\/humupd\/dmad012","article-title":"Uterus transplantation: From research, through human trials and into the future","volume":"29","author":"Racowsky","year":"2023","journal-title":"Hum. Reprod. Update"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1097\/AOG.0000000000001617","article-title":"Deceased Donor Uterine Transplantation: Innovation and Adaptation","volume":"128","author":"Flyckt","year":"2016","journal-title":"Obstet. Gynecol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e13","DOI":"10.1016\/j.fertnstert.2016.12.009","article-title":"Deceased donor uterine transplantation","volume":"107","author":"Flyckt","year":"2017","journal-title":"Fertil. Steril."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.jogc.2017.06.018","article-title":"Uterine Transplantation: Surgical Innovation in the Treatment of Uterine Factor Infertility","volume":"40","author":"Flyckt","year":"2018","journal-title":"J. Obstet. Gynaecol. Can. 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