The Relationship Between the Distance of Common Iliac Artery Bifurcation to the Sacral Promontory and Sacropelvic Parameters: Implications for Sacropexy Operations.
{"title":"The Relationship Between the Distance of Common Iliac Artery Bifurcation to the Sacral Promontory and Sacropelvic Parameters: Implications for Sacropexy Operations.","authors":"Onur Bektaş, Kıvılcım Bektaş","doi":"10.1007/s00192-025-06176-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>This study is aimed at assessing how sacropelvic parameters influence the spatial proximity between the sacral promontory and the aorta-common iliac artery bifurcation, which is of particular relevance in gynecological surgeries involving the presacral region.</p><p><strong>Methods: </strong>Abdominal computed tomography (CT) scans of 223 female patients, obtained for various unrelated clinical indications, were retrospectively evaluated. The distance between the aorta-common iliac artery bifurcation and the sacral promontory (aBPD), as well as sacropelvic parameters, were measured on these CT images. The relationship between aBPD and both demographic variables and sacropelvic parameters was analyzed.</p><p><strong>Results: </strong>The average distance (aBPD) was measured as 40.81 mm, with the bifurcation most frequently located at the L4 vertebral body level. Statistical analyses revealed that the aBPD had a negative correlation with age (p < 0.001) and hypertension (p = 0.026), while showing a positive correlation with BMI (p = 0.008), diagonal conjugate (DC) (p = 0.029), and pelvic thickness (PTH) (p = 0.031).</p><p><strong>Conclusions: </strong>A shorter aBPD was identified in patients with hypertension, low BMI, shorter PTH, shorter DC, and advanced age. These findings underscore the importance of considering individual anatomical variations during surgical risk assessment. Recognizing such factors may help to reduce the risk of vascular injury and enhance the safety and effectiveness of sacropexy procedures.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Urogynecology Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00192-025-06176-0","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction and hypothesis: This study is aimed at assessing how sacropelvic parameters influence the spatial proximity between the sacral promontory and the aorta-common iliac artery bifurcation, which is of particular relevance in gynecological surgeries involving the presacral region.
Methods: Abdominal computed tomography (CT) scans of 223 female patients, obtained for various unrelated clinical indications, were retrospectively evaluated. The distance between the aorta-common iliac artery bifurcation and the sacral promontory (aBPD), as well as sacropelvic parameters, were measured on these CT images. The relationship between aBPD and both demographic variables and sacropelvic parameters was analyzed.
Results: The average distance (aBPD) was measured as 40.81 mm, with the bifurcation most frequently located at the L4 vertebral body level. Statistical analyses revealed that the aBPD had a negative correlation with age (p < 0.001) and hypertension (p = 0.026), while showing a positive correlation with BMI (p = 0.008), diagonal conjugate (DC) (p = 0.029), and pelvic thickness (PTH) (p = 0.031).
Conclusions: A shorter aBPD was identified in patients with hypertension, low BMI, shorter PTH, shorter DC, and advanced age. These findings underscore the importance of considering individual anatomical variations during surgical risk assessment. Recognizing such factors may help to reduce the risk of vascular injury and enhance the safety and effectiveness of sacropexy procedures.
期刊介绍：
The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
