It takes big cojones for a man to turn down the surgery that will reduce his 100 lbs. of scrotum.

But Wesley Warren of Las Vegas, 47 years old and 450 lbs. (including scrotum), said no to celebrity doctor Mehmet Oz's offer of free medical care rather than give the TV physician exclusivity on his story. Not when Howard Stern is knocking and a British production company wants him for a documentary, the Las Vegas Review-Journal reports.

Teams of doctors have poked and prodded Warren since 2008 but have been unable to come up with a definitive diagnosis for his super-sized sac. They call his condition scrotal elephantiasis or lymphedema - a buildup of fluid in the tissues - and they don't know how much worse it could get.

According to the report, Warren's breathing is laboured. He suffers from high blood pressure and asthma. He can't urinate normally or have sex. He has daily bouts of depression. Getting dressed takes nearly an hour, and then he carries the appendage around covered in a hoodie and resting on a pillow-topped milk crate.

The surgeries available to him are costly and don't promise to preserve his penis and testicles intact. He insists it's the fear of these procedures that's holding him back, not the limelight from media exposure of his case.

"Who would want to live like this?" he said to the Review-Journal. "I just don't want to die during the operation."