According to the POP-Q (Pelvic Organ Prolapse Quantification) system, a woman has point Aa = 0, point Ba = 0, point C = -3, point Bp = -3, and total vaginal length = 8 cm. Her prolapse stage is:
- A Stage 0
- B Stage II ✓
- C Stage I
- D Stage III
Correct answer: B. Stage II
Explanation
POP-Q staging: Stage 0 = no descent; Stage I = most distal point >1 cm above hymen; Stage II = most distal point between -1 cm and +1 cm relative to hymen; Stage III = most distal point >1 cm beyond hymen but ≤TVL-2 cm; Stage IV = complete eversion. Point Aa = 0 means the anterior wall is at the level of the hymen. Stage II = most distal point within 1 cm of the hymenal ring (between -1 and +1 cm). Aa and Ba at 0 are at the hymen = Stage II.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.