According to the POP-Q (Pelvic Organ Prolapse Quantification) system, a woman has point Ba at +3 cm, point Bp at +2 cm, and the total vaginal length is 8 cm. What stage of prolapse does she have?

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

Explanation

POP-Q staging: Stage 0 — no descent; Stage I — most distal point >1 cm above the hymen (< −1 cm); Stage II — most distal point ≤1 cm above or below the hymen (−1 cm to +1 cm); Stage III — most distal point >1 cm beyond the hymen but not complete eversion (the most protruding point is >+1 cm but less than TVL − 2 cm); Stage IV — complete eversion (most protruding point ≥ TVL − 2 cm). Here, Ba = +3 cm, Bp = +2 cm; most distal point is +3 cm. TVL − 2 = 8 − 2 = 6 cm. Since +3 < 6, this is Stage III.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.