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患者男,55岁,会阴部肿块10年.近一月局部肿胀及漏尿收入院.于10年前发现阴囊根部有一个鸡蛋大肿物,平素有坠痛.近一月来,局部肿胀,疼痛,伴有尿痛,并从尿道口流脓性物,7天后在阴囊根部有一小隆起破溃形成瘘口,流脓汁,内带有血性液体,漏尿.每次排尿后时有滴沥.体查:在阴茎根部与阴囊交界处可扪及一个8×6厘米大圆形肿物同,表面光滑,质硬,扪及时有捏痛,阴囊稍肿胀,在后侧方有瘘口约0.2×0.2厘米大小,触及疼痛,能挤压出少许脓性分泌物,尿蛋白阴性、白细胞艹,脓细胞艹.X线平片尿道部有鸭蛋大小结石阴影.探针从瘘口处探有击石音.诊断为前尿道憩室并发大结石:入院后做阴茎阴囊交界中线纵形切口、于前尿道球部见有9×7×7厘米大之球型憩室,纵切囊壁取出一大结石为8×6×6厘米,憩室颈部有粘连,分离粘连后切除憩室。
Male patient, 55 years old, perineal mass for 10 years in recent months, local swelling and leakage of urine collected in. Found 10 years ago, the root of the scrotum has a large egg mass, usually fall pain .In recent months, local swelling, Pain, accompanied by dysuria, and purulent material from the urethral orifice, 7 days after the scrotum root ulceration to form a small ulceration fistula, pus juice, with bloody fluid, leakage of urine. Physical examination: at the junction of the penis and the scrotum palpable with an 8 × 6 cm large circular tumor with the surface smooth, hard, palpable pain when the palpable, scrotum slightly swollen, fistula in the back of the side about 0.2 × 0.2 cm size, touch the pain, can squeeze out a little purulent discharge, urinary protein negative, leukopenia, pus 艹 .X line plain urethra size of the stone of the stone size. Probes probe from the fistula Hit the stone sound .Diagnosis of the anterior urethral diverticulum complicated by large stones: after admission to do the penis scrotum at the junction of longitudinal incision, in the anterior urethral bulb see 9 × 7 × 7 cm large ball diverticulum, longitudinal wall removed a large Stone is 8 × 6 × 6 cm, diverticula neck adhesions, adhesions removed after resection of the diverticulum.