According to the Badharell's classification, which grade of uterine prolapse is characterized by the cervix remaining within the vaginal introitus but the uterine body prolapsing into the vaginal canal?

Explanation

## Badharell's Classification of Uterine Prolapse **Key Point:** Badharell's classification grades uterine prolapse based on the extent of descent of the uterine body and cervix beyond the vaginal introitus. ### Grading System | Grade | Extent of Prolapse | Clinical Presentation | |-------|-------------------|----------------------| | **Grade 1 (First Degree)** | Uterine body descends into vagina; cervix remains at or above introitus | Minimal external protrusion | | **Grade 2 (Second Degree)** | Cervix at introitus; uterine body in vaginal canal | **Cervix within introitus, uterus prolapsed** | | **Grade 3 (Third Degree)** | Cervix protrudes beyond introitus; uterus partially outside | Cervix visible externally | | **Grade 4 (Fourth Degree)** | Complete prolapse; entire uterus outside vagina | Complete procidentia | **High-Yield:** Grade 2 prolapse is the most common presentation clinically, where patients report a bulge or mass sensation but the cervix has not yet prolapsed beyond the introitus. **Clinical Pearl:** The key distinguishing feature of Grade 2 is that the cervix remains **within** the vaginal introitus while the uterine body has descended into the vaginal canal — this is the critical differentiator from Grade 1 (where cervix is above introitus) and Grade 3 (where cervix is beyond introitus). **Mnemonic:** **BADHARELL'S 1-2-3-4** — 1=body in vagina, 2=cervix at introitus, 3=cervix out, 4=complete out