POP-Q

ICS prolapse staging system

Modified from Messelink EJ : Evaluation Female Pelvic Floor Disorders , EAU 2010

Measurements can be obtained in an average of 2.1 minutes per examination by experienced examiners and 3.7 minutes per examination by new examiners . Therefore, practitioners should be able to learn and use this system with minimal effort.

Hall, AF, Theofrastous, JP, Cundiff, GW, et al. Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society pelvic organ prolapse classification system. Am J Obstet Gynecol 1996; 175:1467.

Anatomic landmarks

• Hymen is the fixed point of reference

• The plane of hymen is defined as 0

• 6 points measured in cm proximal or distal

POP-Q iuga simplified version

• gh 3 cm• pb 2 cm

• Tvl 10 cm• Ap 3 cm• Bp 3 cm

Source :Swift S , 2006

Instruments

• measuring device

• Sims speculum

Order of exams

Step 1 : Genital Hiatus (gh : 3 cm)

Perineal Body (pb: 2cm)

Order of exams

Step 2 : Vaginal Lenght ( D : 10 cm )

Order of exams

Step 3: Anterior wall ( Aa:3 cm – Ba:6 cm )

Order of exams

Step 4: Posterior wall (Ap:3 cm – Bp:6 cm)

BARD Interactive Guide

Grid Report