Glossary

Term · Postpartum: Your Body

POP-Q

Also: Pelvic Organ Prolapse Quantification, POPQ

A clinical measuring system that records how far each pelvic organ has dropped. Clinicians use it to stage prolapse on a scale from 0 to IV.

In plain words

POP-Q stands for Pelvic Organ Prolapse Quantification. It is a way for a clinician to measure how far the bladder, uterus, and bowel have dropped inside the vagina. The clinician measures points in centimeters, and the result is given as a stage from 0, meaning none, to IV, meaning complete. The measurements are taken with you lying back on an exam table and bearing down gently. The stage describes the exam, not how much it bothers you. Many people with a low stage have few symptoms, and some with higher stages feel fine. Ask your provider what your stage means for your daily life.

The deeper version

POP-Q, the Pelvic Organ Prolapse Quantification system, is a standardized clinical staging that records measurements at defined points relative to the hymen, with stages 0 through IV derived from the position of the most distal point (Bump et al., 1996). It is the standard reference for research and clinical reporting and complements symptom-based questionnaires such as the Pelvic Floor Distress Inventory. Stage is an anatomic description and correlates imperfectly with symptoms, and assessment usually combines the staging with history and examination of pelvic floor function. Interobserver variability exists, and training improves reproducibility.

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Sources

  • Bump RC et al. — The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. American Journal of Obstetrics and Gynecology, 1996

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