Introduction: Metoidioplasty and phalloplasty are one of the most common surgeries among transgender patients, yet still they do not have any specific guidelines, how to perform each method. The aim of this study is to elucidate the critical factors influencing the choice of surgical method, with a particular focus on the prevalence of common postoperative complications and their impact on sexual satisfaction.Material and Methods: a total of 22 articles (nine metoidioplasty and 13 phalloplasty) were collected for the review and analyzed for postoperative urinary tract complications, life satisfaction and sexual function of the patients. Nine metoidioplasty articles presented a total of 2718 patients, while 13 articles resolved about phalloplasty and provided 1300 cases. Results: It may seem that although phalloplasty results in more male-like looking genitalia, there is no significant difference in general satisfaction with the appearance of the neopenis between phalloplasty and metoidioplasty. Both methods however present postoperative complications connected to the urinary tract such as fistulas and strictures.Conclusions: This review has provided a comparative analysis of metoidioplasty and phalloplasty as two principal gender-affirming surgical options for transgender men. While each procedure offers unique benefits and drawbacks, the selection between them should be individualized.Significance of the study for the development of the field: This study provides valuable insights into the outcomes and complications of metoidioplasty and phalloplasty, helping to refine surgical techniques and guide patient-centered decision-making. By highlighting key factors influencing satisfaction and function, it contributes to the ongoing advancement of gender-affirming surgery.

In 2020, approximately 287,000 mothers died during pregnancy or childbirth, with one of the leading causes of maternal mortality being peripartum hemorrhage. It can be treated both pharmacologically and procedurally, for example, through uterine artery ligation, embolization, or hysterectomy. In case of procedural treatment, it is essential for the medical team to familiarize themselves with the anatomical structure of the patient's uterine arteries. Various variations in the course of this vessel are distinguished, such as the uterine artery branching as a bifurcation with the inferior gluteal artery, a common trunk of the uterine artery with another vessel, or even its duplication. Using radiological techniques such as angiography, it is possible to visualize vessels and their variations, which can allow for better patient care. Unfamiliarity with the departure and trajectory of the uterine artery may be associated with an increased risk of postoperative complications, especially after hysterectomy, where the uterine arteries close at the level of the uterus or at the beginning of their departure from the internal iliac artery. Ligating them in other place may result in ischemia of an area that should be continuously supplied with blood. Also, during surgery, special attention should be paid to possible anatomical variations of the patient's uterine artery, which, although rare, can cause intraoperative complications. A thorough analysis of the departure and trajectory of the uterine artery by physicians can prevent postoperative complications and also allow for the safe conduct of embolization procedures. The following article presents a literature review on the departure and course of the uterine artery and its variations, as well as procedural interventions related to this vessel.