患者男,38岁,农民。20年前开始出现排尿困难和尿频、尿痛、尿急,伴下腹部和会阴区疼痛,并向下背部放射。有时伴寒战、发热,腰部酸痛和终末脓、血尿。多年来,在本地和厂矿基层医院化验小便有红、白细胞、脓球和蛋白,被诊断为尿道炎、膀胱炎和肾盂肾炎。经休息和抗感染治疗后,症状得到缓解。三天前,又出现下腹绞痛、肛门坠胀、排尿不成线;近两天完全停止排尿,下腹部胀痛加剧,急诊入院。 Male patient, 38 years old, farmer. 20 years ago began to dysuria and frequent urination, dysuria, urgency, accompanied by abdominal and perineal pain, and lower back radiation. Sometimes chills, fever, sore waist and terminal pus, hematuria. Over the years, red, white blood cells, pus, and proteins have been tested in local and factory-owned grass-roots hospitals to diagnose urethritis, cystitis and pyelonephritis. After rest and anti-infective treatment, the symptoms eased. Three days ago, abdominal colic occurred again, anus bulge, voiding is not a line; nearly two days to completely stop urination, lower abdominal pain increased, emergency admission.