title: [Pelvic lipomatosis. Diagnostic and therapeutic considerations apropos of 3 cases].
abstract: OBJECTIVE
  We report three cases of pelvic lipomatosis, and from them we discuss its diagnostic and therapeutic considerations.
  
  
  RESULTS
  Three patients, 71, 65 and 61 years old respectively, presented with irritative lower urinary tract symptoms. Intravenous pyelogram (IVP) and CT scan were performed as diagnostic procedures. After diagnosis an endoscopic evaluation including biopsies was performed to rule out tumours. All three underwent Bricker-Wallace II type urinary diversion resulting in good control of irritative symptoms. During follow-up one patient presented with an infiltrative bladder tumour.
  
  
  CONCLUSIONS
  Pelvic lipomatosis is a rare disease; although traditionally has been considered benign it can result in urinary tract obstruction with severe physiopathological consequences. IVU and CT-scan are valuable to confirm the diagnosis. Lower urinary tract symptoms are controlled with urinary diversion without cystectomy but potential malignization of the bladder lesions should make us reconsider treatment.
authors.affiliation: Servicio de Urología, Hospital Universitario Virgen de las Nieves, Granada, España.
authors.forename: Soledad
authors.initials: S
authors.lastname: Buitrago Sivianes
authors.forename: Miguel
authors.initials: M
authors.lastname: Tallada Buñuel
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Vicente Prados
authors.forename: Eduardo
authors.initials: E
authors.lastname: Espejo Maldonado
authors.forename: Eduardo
authors.initials: E
authors.lastname: Ruiz Carazo
authors.forename: Antonio
authors.initials: A
authors.lastname: Martínez Morcillo
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Cózar Olmo
authors.forename: José Luis
authors.initials: JL
authors.lastname: Rosales Leal
authors.forename: Francisco
authors.initials: F
authors.lastname: Rodríguez Herrera
authors.forename: Manuel
authors.initials: M
authors.lastname: Ortiz Gorraiz
mesh_terms: D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D015653:Cystectomy; D003558:Cystoscopy; D003937:Diagnosis, Differential; D006801:Humans; D008068:Lipomatosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008679:Metaplasia; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D011468:Prostatectomy; D012187:Retroperitoneal Space; D014057:Tomography, X-Ray Computed; D001743:Urinary Bladder / Q000473:pathology; D001749:Urinary Bladder Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D014547:Urinary Diversion; D016055:Urinary Retention / Q000209:etiology; D014555:Urination Disorders / Q000209:etiology; D014567:Urography