Pelvic lipoatrophy is a relatively rare urologic disorder, the exact cause of which is not clear, and is mostly considered to be related to distal ureteral infections or abnormal lipid metabolism. Pelvic lipoatrophy is usually found in men between the ages of 20 and 50. If there is a distal ureteral infection, it is often combined with dysuria, hematuria or lower abdominal discomfort and pain. At the same time, most of the findings are accompanied by signs of increased abdominal fat and obesity; in severe cases, palpation may also reveal that the lower abdomen is filled with swelling. At present, there is no clear clinical treatment for pelvic lipoatrophy, and the symptomatic treatment can be chosen under the guidance of the doctor according to the patient’s own symptoms.