A 55-year-old woman complains of a vaginal bulge and stress urinary incontinence. On POP-Q examination, the leading edge of prolapse (Ba point) is at +2 cm beyond the hymen, and the cervix (C point) is at 0 cm. What is the POP-Q stage of the anterior compartment prolapse?

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

Explanation

POP-Q staging is based on the most distal point of prolapse: Stage I = leading edge more than 1 cm above hymen (< -1); Stage II = within 1 cm above or below hymen (-1 to +1); Stage III = more than 1 cm below hymen but not total eversion (> +1 to < TVL-2); Stage IV = total eversion. A Ba point of +2 cm is more than 1 cm beyond the hymen, placing this at Stage III.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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