Surgical Management of Müllerian Anomalies

Introduction:Up to 5–10% of females are estimated to have a Müllerian anomaly, which, when obstructive, may cause pain and amenorrhea due to hematocolpos.1 Those with nonobstructive anomalies often present with dysmenorrhea, dyspareunia, infertility, endometriosis, and recurrent pregnancy loss.1,2 Müllerian anomalies are also associated with renal and skeletal abnormalities, and patients should undergo appropriate screening upon diagnosis.3 Adverse pregnancy outcomes, including preterm labor, fetal growth restriction, and cesarean section, are also frequently reported in this population.4 With phenotypes varying widely, surgical approaches to tackling each anomaly must be tailored to the individual patient.5 The purpose of this video is to describe the surgical management of three unique Müllerian anomalies.