Laparoscopic Management of the Müllerian Anomaly Patient

Purpose of Review This review aims to highlight recent advances in the laparoscopic management of Müllerian anomalies, emphasizing how minimally invasive approaches can improve diagnosis, symptom control, and individualized surgical outcomes. We examine when and how laparoscopy should be applied to optimize care across the full spectrum of congenital anomalies. Recent Findings Over the past five years, a growing number of case series and reports have demonstrated the utility of laparoscopy for both diagnostic and therapeutic management of Müllerian anomalies. Recent literature highlights the successful use of laparoscopy for uterine remnant excision, use of intraoperative fluoroscopy or antegrade genitography for enhanced diagnostic accuracy, minimally invasive reconstruction in patients with obstructive anomalies, and complex urological or gastrointestinal associations. Studies increasingly support conservative management to preserve uterine function and fertility whenever feasible. Summary Laparoscopic techniques now play a central role in the management of Müllerian anomalies, offering less invasive, anatomically precise, and goal-directed care. Patient-centered outcomes, such as pain resolution, restoration of menstrual function, preservation of reproductive potential, sexual health, and avoidance of unnecessary hysterectomy, are increasingly prioritized. Preoperative imaging is becoming increasingly accurate to assist with patient counseling and surgical planning. While long-term data remain limited, current evidence supports laparoscopy as a safe, effective, and adaptable strategy across a wide range of anatomic variants. Ongoing innovation and multidisciplinary collaboration are essential to refining treatment strategies and improving quality of life for affected patients.