POPQ Classification Explained
The Pelvic Organ Prolapse Quantification (POPQ) system is a standardized method for describing and quantifying the severity of uterovaginal prolapse. It involves measuring specific points and lengths within the vagina and perineum.
POPQ Measurements
Key measurements in the POPQ system include:
- Points A, B, C, and D: These represent specific locations on the anterior and apical vaginal walls.
- Genital Hiatus (GH): The distance from the urethral meatus to the hymenal ring.
- Perineal Body (PB): The distance from the hymenal ring to the posterior midline.
- Total Vaginal Length (TVL): The maximum length of the vaginal canal.
Assessment Phases
Measurements are typically taken in two phases:
- Straining Phase: The patient bears down to maximally protrude the pelvic organs. Measurements like Points A, B, C, D, GH, and PB are assessed in this position to quantify the extent of prolapse.
- Reduced Phase: The prolapsed organs are gently pushed back into their normal position.
Measurement After Reduction
The total vaginal length (TVL) is the specific POPQ measurement performed *after* the prolapse has been reduced. This measurement assesses the baseline length of the vagina itself, separate from any descent of organs.
Therefore, the only measurement done after reducing the prolapse in the POPQ classification is the total vaginal length.
Important Questions from Displacement of Uterus
- Which of the following symptoms can be associated with pelvic organ prolapse?
1. Difficulty in passing urine
2. Incomplete evacuation of urine
3. Urgency and frequency
Select the correct answer using the code given below: Which of the following is NOT an ideally suited condition for use of ring pessary in case of uterine prolapse?
- Procidentia as a degree of uterovaginal prolapse is characterised by descent of
Which of the following are essential steps of Fothergill's operation?
1. Laparoscopic or vaginal ligation
2. Amputation of cervix
3. Plication of Mackenrodt's ligaments in front of cervix
4. Ant colporrhaphy
Select the correct answer using the code given below.
- The reference point 'zero' in POPQ (Pelvic Organ Prolapse Quantification) classification is taken as
