Ureteral reimplantation for the management of pelvic lipomatosis

Introduction Pelvic lipomatosis is a rare benign disease characterized by urethral elongation, bladder deformity, and/or hydronephrosis. Conservative management is not effective, and urinary diversion is the most effective treatment option but is usually unacceptable for relatively young patients. U...

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Published in:IJU case reports 2024-03, Vol.7 (2), p.181-184
Main Authors: Zong, Dapeng, Xu, Xin, Yan, Kai, Xu, Nianbiao, Jiang, Xingkang, Xu, Guoping, Ma, Baojie
Format: Article
Language:English
Subjects:
Bladder
Case Report
Case Reports
Conflicts of interest
Etiology
Hydronephrosis
Laparoscopy
Patients
pelvic lipomatosis
Software
Surgeons
Surgery
ureteral reimplantation
Urinary tract infections
Urogenital system
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Summary:Introduction Pelvic lipomatosis is a rare benign disease characterized by urethral elongation, bladder deformity, and/or hydronephrosis. Conservative management is not effective, and urinary diversion is the most effective treatment option but is usually unacceptable for relatively young patients. Ureteral reimplantation seemed to be an appropriate modality under these conditions. We present one case in which pelvic lipomatosis was managed with ureteral reimplantation. Patient presentation A 45‐year‐old, previously healthy man presented with right flank pain. Pelvic CT and CT urography showed excessive pelvic fat, bilateral hydronephrosis, tortuous ureters, and a pear‐shaped bladder, all of which indicated a diagnosis of pelvic lipomatosis. We performed laparoscopic bilateral urinary tract infection on this patient. At follow‐up, bilateral hydronephrosis and flank pain were greatly relieved. Conclusion Pelvic lipomatosis can be managed safely and effectively by urinary tract infection, but longer follow‐up periods are needed to evaluate the long‐term efficacy of this approach.
ISSN:2577-171X
2577-171X
DOI:10.1002/iju5.12698