Pelvic Organ Prolapse Quantification System

Pelvic Organ Prolapse Quantification System
Purposeassessing the degree of prolapse of pelvic organs

The Pelvic Organ Prolapse Quantifications System (POP-Q) is a system for assessing the degree of prolapse of pelvic organs to help standardize diagnosing, comparing, documenting, and sharing of clinical findings.[1][2] This assessment is the most frequently used[3][4] among research publications related to pelvic organ prolapse.[4]

When assessed using the POP-Q, the prevalence of pelvic organ prolapse is estimated to be up to 50% while diagnosis by symptoms has a prevalence of 3–6%.[2] Some advocate that the system of assessment be modified.[5]

The POP-Q was developed in 1996, it quantifies the descent of pelvic organs into the vagina.[3][6][2] The POP-Q provides reliable description of the support of the anterior, posterior and apical vaginal wall. It uses objective and precise distance measurements to the reference point, the hymen. Cystocele and prolapse of the vagina from other causes is staged using POP-Q criteria and can range from good support (no descent into the vagina) reported as a POP-Q stage 0 or I to a POP-Q score of IV, which includes prolapse beyond the hymen. It also used to quantify the movement of other structures into the vaginal lumen and their descent.[6][2]

  1. ^ Persu, C; Chapple, CR; Cauni, V; Gutue, S; Geavlete, P (2011-02-15). "Pelvic Organ Prolapse Quantification System (POP–Q) – a new era in pelvic prolapse staging". Journal of Medicine and Life. 4 (1): 75–81. ISSN 1844-122X. PMC 3056425. PMID 21505577.
  2. ^ a b c d Barber, Matthew D.; Maher, Christopher (2013-11-01). "Epidemiology and outcome assessment of pelvic organ prolapse". International Urogynecology Journal. 24 (11): 1783–1790. doi:10.1007/s00192-013-2169-9. ISSN 0937-3462. PMID 24142054. S2CID 9305151.
  3. ^ a b Beckley, Ian; Harris, Neil (2013-03-26). "Pelvic organ prolapse: a urology perspective". Journal of Clinical Urology. 6 (2): 68–76. doi:10.1177/2051415812472675. S2CID 75886698.
  4. ^ a b Boyd, S. S.; O'Sullivan, D. M.; Tulikangas, P. (2017-03-01). "29: Implementation of the pelvic organ prolapse quantification system in peer-reviewed journals". American Journal of Obstetrics & Gynecology. 216 (3): S591. doi:10.1016/j.ajog.2016.12.076. ISSN 0002-9378.
  5. ^ Oyama, Ian A.; Steinberg, Adam C.; Watai, Travis K.; Minaglia, Steven M. (2012). "Pelvic Organ Prolapse Quantification Use in the Literature". Female Pelvic Medicine & Reconstructive Surgery. 18 (1): 33–34. doi:10.1097/spv.0b013e31823bd1ab. PMID 22453265. S2CID 26251358.
  6. ^ a b Hoffman, Barbara L.; Williams, J. Whitridge (2012). Williams gynecology (2nd ed.). New York: McGraw-Hill Medical. pp. 647–653. ISBN 9780071716727. OCLC 779244257.