Abstract
OBJECTIVE: To share our experience using robotic uterine transposition (UT) for fertility preservation in a young patient undergoing pelvic radiation for rectal cancer and to review the existing literature on this approach and related reproductive outcomes. DESIGN: Case report and literature review. SUBJECTS: A 29-year-old woman with newly diagnosed, locally advanced rectal adenocarcinoma requiring neoadjuvant chemoradiation. EXPOSURE: Robotic-assisted UT with preservation of uterine and ovarian blood supply. Intraoperative fluorescence imaging was used to confirm perfusion before completing the repositioning. MAIN OUTCOME MEASURES: Surgical feasibility, recovery course, uterine viability, and ability to complete oncologic treatment without delay. RESULTS: The procedure was completed without complications. The patient had an uncomplicated recovery, completed chemoradiation as planned, and follow-up imaging confirmed preserved uterine structure and perfusion. CONCLUSION: Robotic UT may be a safe and effective fertility-preserving option for patients who need pelvic radiation. In this case, it allowed for uninterrupted cancer treatment while maintaining uterine viability. As the technique becomes more widely used, more data are needed to guide patient selection and better understand long-term outcomes.