POP-Q Staging

POP-Q prolapse staging from points Aa, Ba, C, D, Ap, Bp and total vaginal length (cm); the leading (most positive) edge sets the stage 0–IV.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Point Aa
2 cm
Point Ba
3 cm
Point C
-2 cm
Point D
-6 cm
Point Ap
-3 cm
Point Bp
-3 cm
Total vaginal length
9 cm

Result: POP-Q stage III: leading edge +3 cm at point Ba.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Leading edge
the most positive of Aa, Ba, C, D, Ap, Bp (cm relative to the hymen at 0).
Stage 0 / I / II
no descent / leading edge < -1 cm / within 1 cm of the hymen.
Stage III / IV
> +1 cm but < +(TVL-2) / essentially complete eversion (>= +(TVL-2)).

What you enter

  • Point Aa
  • Point Ba
  • Point C
  • Point D (absent after hysterectomy)
  • Point Ap
  • Point Bp
  • Total vaginal length
How this is calculated

Bump RC, Mattiasson A, Bø K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175(1):10-17. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.