Obstetrics & Gynaecology · Prolapse, Urinary Incontinence and Fistulas

In the POP-Q (Pelvic Organ Prolapse Quantification) system, which TWO reference points define the leading edge of the anterior vaginal wall prolapse?

  • A Points Aa and Ba
  • B Points C and D
  • C Points Ap and Bp
  • D Points Aa and Ap
Correct answer: A. Points Aa and Ba

Explanation

In the POP-Q system, the anterior vaginal wall is measured at two points: Aa (a fixed point 3 cm proximal to the urethral meatus, analogous to the urethrovesical junction) and Ba (the most distal point of the anterior vaginal wall). Points C and D describe cervical and posterior fornix positions; Ap and Bp describe the posterior wall. The anterior compartment (cystocoele) is quantified by Aa and Ba.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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