Pelvic Organ Prolapse Quantification (POP-Q)
Obstetrics
Also known as: POP-Q-Klassifikation (Deszensus-Stadien) · POP-Q evrelemesi (pelvik organ prolapsusu) · POP-Q staging of pelvic organ prolapse (stages 0–IV)
What it is for
The Pelvic Organ Prolapse Quantification (POP-Q) system of the International Continence Society (ICS) measures six vaginal points (Aa, Ba, C, D, Ap, Bp) in centimetres relative to the hymen (0; above = negative, beyond = positive) at maximal straining, plus genital hiatus (gh), perineal body (pb) and total vaginal length (tvl), and assigns a stage from the most distal point.
Classification
| Category | Description |
|---|---|
| Stage 0 | no prolapse: points Aa, Ap, Ba and Bp at −3 cm, and C or D no lower than −(tvl − 2) cm. |
| Stage I | the most distal portion of the prolapse is more than 1 cm above the hymen (value below −1 cm). |
| Stage II | the most distal portion lies within 1 cm above or below the hymen (−1 to +1 cm). |
| Stage III | the most distal portion is more than 1 cm beyond the hymen but less than (tvl − 2) cm, i.e. no complete eversion. |
| Stage IV | complete or near-complete eversion: the most distal portion reaches (tvl − 2) cm or more. |
Source
The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction
ICS · Am J Obstet Gynecol 1996;175:10–17 (Bump RC, Mattiasson A, Bø K, et al.)
DOI: 10.1016/s0002-9378(96)70243-0
PMID: 8694033
- Edition
- ICS POP-Q (Bump et al. 1996), the standard prolapse staging system
- Checked on
Summary of the published classification in our own words. Not a substitute for the original publication.
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