Question

What is the POPQ classification of genital prolapse?

Hint:

The POPQ system is essential in assessing the degree of prolapse, guiding treatment decisions, and providing a clear understanding of the prolapse's severity.

Answer 1

Step 1: Introduction to POPQ Classification.
The POPQ (Pelvic Organ Prolapse Quantification) system is a standardized method used to classify and assess the severity of genital prolapse. It evaluates the position of the pelvic organs using specific anatomic landmarks.
Step 2: Components of POPQ Classification.
The POPQ classification is based on 6 points:
(1) Point Aa (Anterior vaginal wall) - The position of the anterior vaginal wall relative to the hymenal ring.
(2) Point Ba (Posterior vaginal wall) - The position of the posterior vaginal wall relative to the hymenal ring.
(3) Point C (Cervix) - The descent of the cervix or uterus in relation to the hymenal ring.
(4) Point D (Posterior vaginal fornix) - The descent of the posterior vaginal fornix.
(5) TVL (Total vaginal length) - The length of the vagina measured from the hymen to the cervix.
(6) Point Ap (Apical prolapse) - The position of the apex of the vagina (in cases of hysterectomy).
These measurements are used to grade the prolapse from Stage 0 (no prolapse) to Stage 4 (complete prolapse).
Step 3: Grading of Prolapse.
- Stage 0: No prolapse.
- Stage 1: Descent of the pelvic organs to the hymen.
- Stage 2: Descent of the pelvic organs halfway to the hymen.
- Stage 3: Descent of the pelvic organs past the hymen but not completely outside the vagina.
- Stage 4: Complete vaginal prolapse (the organ completely outside the vagin.