Skip to main content
. Author manuscript; available in PMC: 2010 Jul 1.
Published in final edited form as: Urol Nurs. 2009 Jul–Aug;29(4):239–246.

Stages of Pelvic Organ Prolapse.

Stages are based on the maximal extent of prolapse relative to the hymen:
Stage 0: No prolapse; anterior and posterior points are all – 3 cm.
Stage I: The criteria for stage 0 are not met, and the most distal prolapse is more than 1 cm above the level of the hymen
Stage II: The most distal prolapse is between 1 cm above and 1 cm below the hymen
Stage III: The most distal prolapse is more than 1cm below the hymen but no further than 2 cm less than TVL
Stage IV: Represents complete vault eversion
graphic file with name nihms189916f2.jpg
Six vaginal sites used in staging prolapse:
Points Aa and Ba anteriorly
Points Ap and Bp posteriorly
Point C for the cervix or vaginal apex
Point D for the posterior fornix (not measured after hysterectomy)
GH – genital hiatus
PB – perineal body
TVL – total vaginal length