POPQ measurements with the Valsalva maneuver preoperatively and under general anesthesia with uterine traction intraoperatively.

<p>All values expressed in mean±standard deviation.</p><p>Aa – anterior vaginal wall 3 cm proximal to the hymen.</p><p>Ba – most distal position of the remaining upper anterior vaginal wall.</p><p>C – most distal edge of the cervix or vaginal cuff.</p><p>D – posterior fornix.</p><p>Ap – posterior vaginal wall 3 cm proximal to the hymen.</p><p>Bp – most distal position of the remaining upper posterior vaginal wall.</p

Stage of prolapse with Valsalva maneuver preoperatively and under general anesthesia with uterine traction intraoperatively.

<p>Stage 0 no prolapse.</p><p>Stage 1 stage 0 criteria not met + leading edge < −1 cm.</p><p>Stage 2 leading edge ≥ −1 cm but ≤ +1 cm.</p><p>Stage 3 leading edge +1 cm but < +(tvl −2) cm.</p><p>Stage 4 leading edge ≥ +(tvl −2) cm.</p><p>Leading edge, cervix – uterine (apical) prolapse.</p><p>Leading edge, anterior – anterior wall prolapse.</p><p>Leading edge, posterior – posterior wall prolapse.</p