Line A: The vaginal length from posterior symphysis to apex or posterior fornix can be useful for sizing Ring, Donut and inflatable pessaries, or the length of a Gellhorn neck.
Line B: The vaginal width at the apex can be useful when considering the diameter of the Gellhorn, Dish, Shaatz.
Line C: The diameter of the introitus and vaginal shaft can help in measuring for the Cube.
Note: for the incostress and T pessaries the measure would be from the tip of the cervix to the entrance of the vagina for the length and Line B for the width. The T pessary and Incostress is ideally placed high in the vagina with about half centimeter room from the enterance.
Line B: The vaginal width at the apex can be useful when considering the diameter of the Gellhorn, Dish, Shaatz.
Line C: The diameter of the introitus and vaginal shaft can help in measuring for the Cube.
Note: for the incostress and T pessaries the measure would be from the tip of the cervix to the entrance of the vagina for the length and Line B for the width. The T pessary and Incostress is ideally placed high in the vagina with about half centimeter room from the enterance.
POP Q - PELVIC ORGAN PROLAPSE QUANTIFICATION SYSTEM
Pelvic Organ Prolapse Quantification System (POP-Q) Stage
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. |