Female Genital Prolapse - Grading

Grading

They are graded either via the Baden-Walker System or the Pelvic Organ Prolapse Quantification (POP-Q) System.

Baden-Walker System for the Evaluation of Pelvic Organ Prolapse on Physical Examination
Grade posterior urethral descent, lowest part other sites
0 normal position for each respective site
1 descent halfway to the hymen
2 descent to the hymen
3 descent halfway past the hymen
4 maximum possible descent for each site
Pelvic Organ Prolapse Quantification System (POP-Q)
Stage description
0 No prolapse anterior and posterior points are all -3 cm, and C or D is between -TVL and -(TVL-2) cm.
1 The criteria for stage 0 are not met, and the most distal prolapse is more than 1 cm above the level of the hymen (less than -1 cm).
2 The most distal prolapse if between 1 cm above and 1 cm below the hymen (at least one point is -1, 0, or +1).
3 The most distal prolapse is more than 1 cm below the hymen but no further than 2 cm less than TVL.
4 Represents complete procidentia or vault eversion; the most distal prolapse protrudes to at least (TVL-2) cm.

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