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男,77岁,农民。主诉排尿困难6年,尿闭3天。患者六年前曾由于尿道感染后合并尿道中段瘘、漏尿约半年,后自行停止,但时常感觉尿道疼痛,有时排尿困难并血尿,此次因急性尿潴留入院。体查:稍消瘦,腹胀,膀胱平脐下。术前检查:尿道中段下方可扪及一鸭蛋大小硬结节,尿道下方中段皮肤部分溃烂,可见部分结石突出在外。测量阴茎长15cm,最大周径16cm,肛门直肠指检前列腺肥大,中间沟消失、质硬、无明显触痛。局麻下行膀胱造瘘术,术中探查膀胱及后尿道无发现结石。实验室检查尿常规:红细胞0～1、白细胞卅。
Male, 77 years old, farmer. Chief complaint voiding difficulty 6 years, urine closed for 3 days. Patients with urinary tract infection six years ago due to merger of the middle of the urethral fistula, leakage of urine for about six months, stop themselves, but often feel urethral pain, sometimes dysuria and hematuria, the hospital admission for acute urinary retention. Physical examination: a little weight loss, abdominal distension, bladder under the navel. Preoperative examination: the middle of the urethra palpable below the size of a duck hard nodules, the middle part of the skin below the urethra ulceration, showing some of the stones prominent. Measuring the penis length 15cm, the maximum circumference of 16cm, anorectal prostatic erect prostatectomy, the middle groove disappeared, hard, no obvious tenderness. Local anesthesia downstream bladder fistulation, intraoperative exploration of the bladder and urethra found no stones. Laboratory tests urine routine: 0 to 1 red blood cells, leukocytes 卅.