Obstetrics & Gynaecology · Prolapse, Urinary Incontinence and Fistulas

According to the POP-Q (Pelvic Organ Prolapse Quantification) system, Stage III prolapse is defined as:

  • A Leading edge of prolapse is exactly at the level of the hymen (0 cm)
  • B Most distal prolapse is >1 cm above the hymen
  • C Leading edge of prolapse is >1 cm beyond the hymen but not complete eversion
  • D Complete vaginal eversion (vault prolapse)
Correct answer: C. Leading edge of prolapse is >1 cm beyond the hymen but not complete eversion

Explanation

POP-Q staging: Stage 0 = no prolapse; Stage I = leading edge >1 cm above hymen (−1); Stage II = leading edge between −1 and +1 cm of hymen; Stage III = leading edge >1 cm beyond hymen (>+1 cm) but not maximum possible descent; Stage IV = complete eversion (leading edge ≥TVL−2 cm). Stage III represents significant prolapse outside the introitus but not total vault descent.

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

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