Abstract
Aim: This study was carried out to measure the aorta sacral promontory distance among the females referred for contrast enhanced CT abdomen in a tertiary hospital.
 Material and methods: A quantitative, cross-sectional study was conducted in the Department of radiology, Indira Gandhi Institute of Medical Science, Patna, Bihar, India from December 2019 to October 2020.Total of 140 patients who underwent Contrast Enhanced CT abdomen. The age, height and weight of the patients were noted. In this study, aorta sacral promontory distance was determined.
 Results: The mean age was found to be 51.37 years, mean APT distance 4.61±0.80 cm and mean BMI 24.88. Increased in age was correlated with decrease in APT distance but there was no correlation between BMI and APT distance. According to this study, APT distance was decreased in elderly female patients but no significant change in BMI and APT. Conclusion: we conclude that the age increased, APT distance decreased and there was no significant change in relation to BMI. Therefore, during sacral colpopexy, the surgeon should be careful and consider the aorta sacral promontory distance in the elder female patients while performing dissection.
 Keywords: aorta sacral promontory distance, pelvic organ prolapse, sacral colpopexy.
Highlights
All the pelvic organs are supported by complex “hammock” muscles, ligaments and fibers that attach to the bony anatomy of the pelvis
Conclusion: we conclude that the age increased, APT distance decreased and there was no significant change in relation to BMI
As the age group increased, there was a decrease in mean APT distance
Summary
All the pelvic organs are supported by complex “hammock” muscles, ligaments and fibers that attach to the bony anatomy of the pelvis. Some studies have demonstrated that with increasing age, the aorta enlarges and elongates.[6] Elderly patients suffer from diseases that affect the spinal column, such as osteoarthritis, osteoporosis, or degenerative disc disease, which may alter the height of the vertebral bodies.[6] Sacral colpopexy is a surgical technique for repairing pelvic organ prolapse in women. A higher BMI have been associated with increased prevalence of pelvic floor disorders.[7] Some studies have demonstrated that with increase in age, aorta enlarges and elongates.[8,9] During sacral colpopexy, likelihood of a decreased APT distance in elderly and hypertensive patients require careful identification of aorta bifurcation and sacral promontory before dissection
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