A 55-year-old multiparous woman presents with a sensation of something coming down per vaginum. She reports urinary stress incontinence and difficulty with bowel movements. Examination shows the cervix at the level of the hymen and anterior vaginal wall prolapse with a separate cystocele, along with a posterior rectocele. According to POP-Q staging, what stage is the most anterior component?

• A Stage I
• B Stage III
• C Stage IV
• D Stage II ✓

Explanation

In the POP-Q (Pelvic Organ Prolapse Quantification) system, Stage II is defined as prolapse in which the leading edge is between 1 cm proximal and 1 cm distal to the hymen (point Aa, Ba, C, D, Ap, or Bp between -1 and +1 cm). The cervix at the hymenal ring corresponds to a Stage II prolapse. This system replaced older anatomical classifications with objective, reproducible measurements referenced to the hymen.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.