Obstetrics & Gynaecology · Prolapse, Urinary Incontinence and Fistulas

In the POP-Q (Pelvic Organ Prolapse Quantification) system, Stage II prolapse is defined as:

  • A Most distal prolapsed portion more than 1 cm above the hymen
  • B Complete vault eversion
  • C Most distal prolapsed portion within 1 cm proximal or distal to the hymenal plane
  • D Prolapse beyond the hymen by more than 1 cm but not complete eversion
Correct answer: C. Most distal prolapsed portion within 1 cm proximal or distal to the hymenal plane

Explanation

POP-Q staging: Stage 0 = no prolapse; Stage I = leading edge >1 cm above hymen (−1); Stage II = leading edge within 1 cm proximal or distal to hymen (−1 to +1); Stage III = >1 cm beyond hymen but not complete eversion; Stage IV = complete vault eversion. This standardized system replaced the older Baden-Walker grading.

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

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