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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