POP-Q Flashcards

Questions and Answers

How are the points measured in POP-Q?

6 points measured at the vagina with respect to the hymen; points above the hymen are assigned negative numbers and points below the hymen are assigned positive numbers.

What does 'Aa' refer to in POP-Q measurement?

Anterior vaginal wall 3cm proximal to the hymen, range -3cm to +3cm.

What is indicated by 'Ba' in the context of POP-Q?

Most distal position of the remaining upper anterior vaginal wall, -3cm to TVL.

What does point 'C' represent in the POP-Q staging?

Most distal edge of cervix or vaginal cuff scar. Signup and view all the answers

What is point 'D' in POP-Q?

Posterior fornix (not applicable if post hysterectomy). Signup and view all the answers

What does 'Ap' measure in POP-Q?

Posterior vaginal wall 3cm proximal to the hymen, -3cm to +3cm. Signup and view all the answers

What is indicated by 'Bp' in POP-Q terminology?

Most distal position of the remaining upper posterior vaginal wall, -3cm to TVL. Signup and view all the answers

What does 'gh' stand for in the POP-Q system?

Measured from the middle of the external urethral meatus to the posterior midline hymen. Signup and view all the answers

What is 'pb' in the context of POP-Q?

Measured from the posterior margin of gh to the middle of the anal opening. Signup and view all the answers

What does 'tvl' represent in POP-Q?

Depth of vagina when point D or C is reduced to normal position. Signup and view all the answers

What are the criteria for Stage 0 in POP-Q?

Aa, Ap, Ba, Bp = 3cm and C or D =< -(TVL-2)cm. Signup and view all the answers

What characterizes Stage I in the POP-Q system?

Stage 0 criteria not met and leading edge = -1cm but +1cm and = + (TCL-2)cm. Signup and view all the answers

What does grading of POP involve?

Grading and staging of POP are based on different classification schemes, grading reflects the degree of prolapse. Signup and view all the answers

What does staging of POP measure?

Staging measures the quantity of prolapse in centimeters using the POPQ staging system. Signup and view all the answers

Study Notes

POP-Q Flashcards Overview

POP-Q (Pelvic Organ Prolapse Quantification) assesses prolapse using 6 key points measured from the hymen.
Points above the hymen are given negative values, while those below receive positive values, facilitating clear assessment.

Key Measurement Points

Aa: Anterior vaginal wall measured at 3cm proximal to the hymen, with a range from -3cm to +3cm.
Ba: Most distal position of the upper anterior vaginal wall, measured from -3cm to total vaginal length (TVL).
C: Refers to the most distal edge of the cervix or vaginal cuff scar.
D: Corresponds to the posterior fornix, not applicable post-hysterectomy.
Ap: Posterior vaginal wall at 3cm proximal to the hymen, also ranging from -3cm to +3cm.
Bp: Most distal position of the upper posterior vaginal wall, similar measurement range as Ba.
Genital Hiatus (gh): Measured from the middle of the external urethral meatus to the posterior midline hymen.
Perineal Body (pb): Distance from the posterior margin of gh to the middle of the anal opening.
Total Vaginal Length (tvl): Depth of vagina determined when point D or C is returned to its normal position.

Staging and Grading of Pelvic Organ Prolapse

Stage 0: All points (Aa, Ap, Ba, Bp) at 3cm; C or D less than or equal to - (tvl - 2) cm.
Stage I: Criteria for Stage 0 not met; leading edge between -1cm and +1cm, within two centimeters of tcl.

Grading of Pelvic Organ Prolapse

Grading based on descriptors by Beecham and Baden & Walker.
Grade 0: No prolapse.
Grade 1: Descent halfway to hymen.
Grade 2: Descent to hymen.
Grade 3: Descent halfway past hymen.
Grade 4: Maximum possible descent.

Staging of Pelvic Organ Prolapse

Based on POP-Q values measured in centimeters.
Stage 0: No prolapse.
Stage 1: Prolapse >1cm above hymen.
Stage 2: Prolapse within 1cm above or below hymen.
Stage 3: Prolapse > 1cm below hymen, but less than TVL - 2cm.
Distinctions important for clinical assessment, as a Grade 3 rectocele might be classified under Stage 2 if the leading edge aligns accordingly.

Description

Test your knowledge on the POP-Q system with these flashcards. Each card defines key terms and measurements used to assess vaginal and pelvic floor conditions. Perfect for students and professionals in obstetrics and gynecology.