What are POP-Q measurement points?

POP-Q: Aa (anterior wall 3cm from hymen), Ba (most dependent anterior point), C (cervix), D (posterior fornix), Ap (posterior wall 3cm from hymen), Bp (most dependent posterior), gh (genital hiatus), pb (perineal body), tvl (total vaginal length).

What POP-Q stage requires surgical correction?

Stage III-IV symptomatic prolapse typically warrants surgical correction. Stage II may be surgical if symptomatic. All stages benefit from pelvic floor physical therapy as first-line.

How does POP-Q staging guide surgery choice?

Stage I-II: pessary, pelvic floor PT. Stage III anterior prolapse: anterior colporrhaphy vs paravaginal repair. Stage III-IV apical: native tissue sacrospinous fixation or laparoscopic sacrocolpopexy.

Pelvic Organ Prolapse POP-Q Staging

Stage pelvic organ prolapse using POP-Q system: 9 measurement points referenced to hymen. Stage 0 (no prolapse) through Stage IV (complete vault eversion) with quantitative precision.

Use the full interactive calculator below, or

Pelvic Organ Prolapse POP-Q Staging

Frequently Asked Questions

What are POP-Q measurement points?

What POP-Q stage requires surgical correction?

How does POP-Q staging guide surgery choice?