Urodynamic characteristics of pelvic lipomatosis with glandular cystitis patients correlate with morphologic alterations of the urinary system and disease severity

Chen, Yuke; Yang, Yang; Yu, Wei; Xiao, Yao; Fan, Yu; Duan, Jihong; Tang, Yuan; Jin, Jie; Wang, He; Zhu, Sai-Nan; Xi, Zhijun; Wu, Shi-Liang

doi:10.1002/nau.23343

Cited by 12 publications

(16 citation statements)

References 26 publications

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“…Pelvic lipomatosis has serious complications such as obstructive renal failure (2,5,9), hypertension (2,9), thrombosis, urinary calculi, and bladder adenocarcinoma (2,9,14). Approximately three-quarters of cases of pelvic lipomatosis have been reported to be associated with proliferative cystitis, a premalignant lesion, such as cystitis glandularis, cystitis cystica, or cystitis follicularis (2,9,10,11,14).…”

Section: Discussionmentioning

confidence: 99%

“…In their study including 84 patients with pelvic lipomatosis, Chen et al (11) reported that nearly 80% of patients had various degrees of bladder outlet obstructions according to urodynamics. None of the non-obstructed patients had disease progression at follow-up (11).…”

Section: Discussionmentioning

confidence: 99%

“…If patients have severe hydronephrosis and uremia, urinary diversion (double J stent placement, ureteral reimplantation, nephrostomy, ureterostomy or conduit) is recommended to prevent renal impairment (2,5,8,9,11,15). The alternative to this approach is removal of the fat tissue in the treatment of pelvic lipomatosis.…”

Section: Discussionmentioning

confidence: 99%

“…Heyns et al reported that the mean age at diagnosis was 48 years with a range from 9 to 80 years (2). Tong et al reported that pelvic lipomatosis was seen in the same family members (10) and was more common in blacks, but this is uncertain (11).…”

Section: Introductionmentioning

confidence: 99%

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Bladder Sparing Surgical Treatment in a Patient with Pelvic Lipomatosis

Tarhan¹,

Kavukoğlu²,

Can³

et al. 2020

jus

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bladder Sparing Surgical Treatment in a Patient with Pelvic Lipomatosis

Tarhan¹,

Kavukoğlu²,

Can³

et al. 2020

jus

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show abstract

“…[1,2] Due to external compression of urinary tract by adipose tissue, it may cause bladder outlet obstruction and hydronephrosis. [3] PL occurs with upper urinary tract calculi is rare. Because the excessive fat deposition occupied the pelvis, the bladder is elevated and the bladder neck is stretched, [4] which makes it difficult to treat the ureteral calculi by rigid ureteroscopy.…”

Section: Introductionmentioning

confidence: 99%

Pelvic lipomatosis with ureteral calculi managed by flexible ureteroscopy

Yang

Tang²

2019

Medicine

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Rationale:Pelvic lipomatosis (PL) is a benign disease characterized by overgrowth of adipose tissue in pelvic space. Hydronephrosis and ureterectasis are common complications caused by PL in urinary system. But PL accompanied with upper urinary tract calculi is rare. Also there has been no report of PL with ureteral calculi managed by flexible ureteroscopy (fURS).Patient concerns:A 62-year-old man who has been diagnosed of PL was found to have a right-side ureteral calculi by ultrasound in the routine health examination. In addition, the patient has a history of open surgery of uretero-vesical reimplantation in the left side 13 years ago because of heavy hydronephrosis in the left side.Diagnoses:The diagnosis was PL with ureteral calculi in the right side and heavy hydronephrosis in the left side.Interventions:FURS was performed to remove the right ureteral calculi.Outcomes:A follow-up of 1 year showed that there was no progression of the hydronephrosis in right side and serum creatinine was stable.Lessons:FURS is a suitable option for the upper urinary tract calculi accompanied with anatomical abnormality such as horseshoe kidney, pelvic ectopic kidney and so on. For patient of PL accompanied with upper urinary tract calculi, fURS is suitable and indicated.

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Ureteral reimplantation for the management of pelvic lipomatosis

Zong,

Xu,

Yan

et al. 2024

IJU Case Reports

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IntroductionPelvic 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 presentationA 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.ConclusionPelvic 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.

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Urodynamic characteristics of pelvic lipomatosis with glandular cystitis patients correlate with morphologic alterations of the urinary system and disease severity

Abstract: Morphologic alterations of the urinary system of PL patients lead to unique LHSO or BOO on UDS. The presences of LHSO and BOO are associated with disease severity and progression.

Cited by 12 publications

References 26 publications

Bladder Sparing Surgical Treatment in a Patient with Pelvic Lipomatosis

Bladder Sparing Surgical Treatment in a Patient with Pelvic Lipomatosis

Pelvic lipomatosis with ureteral calculi managed by flexible ureteroscopy

Ureteral reimplantation for the management of pelvic lipomatosis

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