(POP) is actually down or infront abnormal protrussion of PO from its real positon[1]. It has been read, documented in the oldest literature of Medical Science as old as 1600 BC with is watershed moments. Eber’s parsinoi in 1608 BC described 1^st case[2].

Disease is common distressing and disabling condition occurring due to weakness in the structures containing forming PF, hence all owing the  viscera of pelvis descends protrude from  vaginal orifice in last  levels of uterine support . It is seen deteriorating quality of life and massively contributed in  intestinel and bladder dyfuntion.  Life expectancy all with expanding elderly population and motherhood has resulted in POP be coming prominent condition[3].

POP more common in those who are approaching towards menopause or cessation menstraurating females. Obs accidents and more number of children  both Increases pressures off  abdominal regions and  history of same in 1^st degree relatives  are all included in the causation . JJ theory of Fragile collagen making  in child bearing aged women form   clinical background of less age prolapse day today lives. The identification risk factors not needed for Mitotic epidemiologic assess but also therapeutic interest[4].

Symptoms cannot be seen particular with not region specific and are often tough to making with the anatomicals. severity 'bulge' and are seen non-specific many patients had complaint SCOV that is something coming  out of vagina .

Sensations likes vaginal heaviness. Burning micturitions same voiding difficulties defecation related things perceived by one.

Evaluating flour of pelvic cavity anatomy and week structure intraoitus had beneath foremost any gynae correction since the interpretation of specility .Contemporary understanding dynamics anatomical stuff  lower segment  has led  two various new surgical interventions for POP ⁴

Sx for problem accounts for approximately 20% of non-emergency major gynaecological operations & increases 55 % in gediatric women. The lifetime risk of reoccurings of sugrical correction prol-apse thereby 91%[5].

Examination for POP is done in dorsal lithotomy position  in OPD. Inspection of the vulva and perineum is done first in preoperative patients after inspection. After inspection, the labia were separated and anyprolapse is to be noted. Prolapse was graded by using the POP Q system. Plane of hymen is defined as zero. There are six defined points of measurements in the POP Q system Aa Ba C D Ap Bp and three other landmarks GH TVL PB Points above hymen were given negative number and points below hymen positive. All the measurements are in cm. The hymen is elected as there reference point rather the introitus because it is more precisely identified.

Inclusion criteria:

• Patient complaining of SCOV.
• Age 35and above
• Patient giving consent

Exclusion Criteria:

• Pregnancy or 6 weeks purpuerium
• Any major illness with those unfit for surgery.

Stress urinary incontinence, urge incontinence(sensoryormotor) vault prolapse.

Table No. 1:

Table No. 2:

Table No. 3: Pre-stage

Table No. 4: Post stage

The primary objective of the study was to classify POP coding to different stages of POP- Q system before and after vaginal hysterectomy and compare both of them for the outcome at Department of Obs and Gynae AIMS, Dewas .

The significance of the study is to classify as the POP poQ system is a standard system which is reliable and internationally accepted for descry binghe anatomical position of the pelvic ogans[6].  It is site specific and shows excellent exchanged intra and inter examiner reality and comparing preoperative and postoperative. Comparing preop and postop POP Q is important –

For the assessment of surgical outcomes – POP Q classification allows for a standardized assessment of prolapse in preoperatively and postoperatively, hence it gives clear measure of anatomical improvement[7].

Identifying Re-occurrence – it can help identify cases where prolapse has returned, even if the initial surgery was successful.

Counselling and education– POP Q results can be uskioed to educate patients about the severity of their previous the outcome and the potential risks[8].

Research and Quality improvement–comparing pre- and postoperative POP Q data can provide valuable insights for research and quality improvement initiatives[9].

The standardized POP Q system jhasa loop lining curve accessing experience is required to exactly pointer interpretation the anatomical points[10].

The mean age of women with prolapse is 51.6 years. The maximum women with prolapse aged between 51-55 years. The mean preoperative POP Q of Aa point is 1.63±1.16 and postoperative is -1.89±0.48 , Ba point was 2.74±1.55 and post op was -1.81±0.54 , C is 2.38±1.55 and improved to -5.77±1.68 , D point was 1.69±2.54 after vaginal hysterectomy there is no Point D[11]. Ap was 1.21±1.33 and improved to -1.94±0.4, Bp was 1.9±1.51 and improved to -1.88±0.78,  GH was 4.88±1.14 was improved to 2.47±1.11, total vaginal length (TVL) was 6.9±1.87 was improved to 8.2±0.52. perineal body (PB) was 1.98±0.66 improved to 3.01±0.67. with the p value of <0.0001[11].

The highest incidence of these conditions increases with age. Vaginal delivery, compared to LSCS, weakens the perineum regardless of the number of deliveries. The most common symptom is SCOV, with the hymen as the fixed reference point.

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