Lipomatosis pelvis is a disease characterized by tumorlike overgrowth
of normal fat in the pelvis. Due to uninary tract obstruction severe u
rological complications up to uraemia can arise. In 75-80% a cystitis
glandularis is observed at the same time which has to be regarded as p
remalignant for adenocarinoma of the bladder. We describe a 50-year ol
d male patient with lipomatosis pelvis where we performed a radical cy
stoprostatovesiculectomie and a continent urinary diversion. Reviewing
the literature the symptoms, diagnostic procedures and therapy of thi
s disease are discussed.