Pelvic organ prolapse classification
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Pelvic organ prolapse classification
There are many methods of classifying pelvic organ prolapse. No one system is universally agreed upon. But the system approved by the International Continence Society, called the Pelvic Organ Prolapse Quantification system (POPQ), is considered one standard.1 This system uses a fixed point at the entrance to the vagina (the hymen) and measures the distance between the farthest tip of the prolapsed organ and this fixed point. The system also uses defined points inside the vagina to determine what kind of prolapse has occurred.
Your doctor may use one of the many classification systems to determine the level of an organ's prolapse. Identifying the exact level of prolapse helps guide decisions about which treatments are most likely to offer long-term success. The classification—"grade” or "stage"—of a prolapse is determined many different ways. Ask your doctor to explain how he or she classifies pelvic organ prolapse.
| Note: | In order to get the most accurate grading during the pelvic exam, the woman should be bearing down or standing when the test is performed, so that the pelvic organ prolapse is at its maximum. |
References
Citations
Bump RC, et al. (1996). The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. American Journal of Obstetrics and Gynecology, 175(1): 10–17.
Credits
| Author | Sandy Jocoy, RN |
| Editor | Kathleen M. Ariss, MS |
| Associate Editor | Pat Truman, MATC |
| Primary Medical Reviewer | Sarah Marshall, MD - Family Medicine |
| Specialist Medical Reviewer | R. Hugh Gorwill, MD - Obstetrics and Gynecology |
| Last Updated | October 20, 2008 |
| Last updated: | October 20, 2008 |
|---|---|
| Author: | Sandy Jocoy, RN |
| Reviewed By: | Sarah Marshall, MD - Family Medicine, R. Hugh Gorwill, MD - Obstetrics and Gynecology |
| Editors: | Kathleen M. Ariss, MS, Pat Truman, MATC |
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