March 25, 2026 · Journal of minimally invasive gynecology · DOI: 10.1016/j.jmig.2026.03.022

Pain severity and Magnetic Resonance Imaging as key factors in the management of accessory cavitated uterine malformation

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The authors aimed to evaluate the management strategies for accessory cavitated uterine malformation (ACUM) based on clinical symptoms and MRI findings. Their study found that severe pelvic pain was prevalent among patients, and minimally invasive surgical excision significantly reduced pain levels, while alternative approaches like sclerotherapy and expectant management were effective for selected cases. The findings highlight the importance of tailored treatment strategies for ACUM to alleviate symptoms and preserve uterine integrity.

François Golfier, Marianne Fedaoui, Mojgan Devouassoux-Shisheboran, Emilie NGuyen-Ba, Sophie Warembourg, Camille Bouit, Pierre-Adrien Bolze, Pascal Rousset

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