患者,男性,39岁,于1989年8月无明显诱因出现腰部胀痛,排尿困难,尿线变细及尿痛,时有全程肉眼血尿,劳累后出现尿失禁。1994年出现左侧阴囊(左附睾尾)肿大,继而穿破阴囊皮肤,溢脓,1996年3月愈合。1996年5月出现盗汗,曾以“前列腺结核”治疗。1996年9月因上述症状加重入院。查体:T36.5℃,肛门指检:前列腺鹅蛋大小,压痛明 Patients, male, 39 years old, had no obvious predisposition for lower back pain, dysuria, thinning of the urinary tract and dysuria in August 1989. There was gross hematuria and urinary incontinence after exertion. 1994 left scrotal (left epididymis tail) swelling, and then wear the scrotal skin, overflow pus, healed in March 1996. May 1996 night sweats, had “prostate tuberculosis” treatment. September 1996 due to the above symptoms increased admission. Physical examination: T36.5 ℃, anal fingernail: the size of the prostate goose, tenderness