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Related Experiment Videos

Pelvic lipomatosis: 35-year experience.

F A Klein1, M J Smith, I Kasenetz

  • 1Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond.

The Journal of Urology
|May 1, 1988
PubMed
Summary

Pelvic lipomatosis, a benign condition, can cause urinary obstruction in a significant number of patients. Long-term follow-up shows most patients survive, but some require surgery for urinary issues.

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Area of Science:

  • Urology
  • Radiology
  • Pathology

Background:

  • Pelvic lipomatosis is characterized by benign fat proliferation in the true pelvis.
  • It is known to cause various obstructions, including urinary tract, fecal, and vena caval.
  • The condition can remain asymptomatic for extended periods.

Purpose of the Study:

  • To analyze the clinical presentation, management, and outcomes of patients with pelvic lipomatosis.
  • To assess the long-term prognosis and complications associated with this benign condition.

Main Methods:

  • Retrospective review of 18 patients diagnosed with pelvic lipomatosis between 1950 and 1985.
  • Data collection included patient demographics, clinical symptoms, operative procedures, and follow-up duration.
  • Survival rates and incidence of urinary obstruction were analyzed.

Main Results:

  • The study included 18 patients (mean age 44.5 years) with a mean follow-up of 7.5 years.
  • 16 patients (89%) survived, one died of uremia, and one was lost to follow-up.
  • 39% of patients (7 out of 18) required surgical intervention for urinary obstruction.

Conclusions:

  • Pelvic lipomatosis, while benign, can lead to significant urinary complications requiring operative management.
  • Long-term survival is generally favorable, but vigilance for potential obstructions is necessary.
  • The condition's potential for dormancy highlights the importance of thorough patient evaluation.

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