Wesley Warren Jr., the man made famous by his 132-pound scrotum, died at a Las Vegas hospital on Friday. He was 49.

Wesley Warren Jr. Dies

Warren had suffered two heart attacks recently, which likely factored into his death, although no official cause has been confirmed, according to the Las Vegas Review-Journal. “He was in the hospital for five and a half weeks,” Warren’s friend, Joey Hurtado, told the paper. “He had infections that I think were brought on by his diabetes and then he had those heart attacks.”

Warren underwent surgery last year to remove his enlarged testicle. It is not believed that the surgery in any way factored into his death.

In 2011, Warren, whose scrotum first became enlarged in 2008, made headlines for his uncommon condition. Since then, he made efforts to raise donations for the $1 million surgery. After turning down a number of offers from high-profile individuals, he accepted Howard Stern’s help and eventually received surgery from California urologist Dr. Joel Gelman.