患者,女,33岁,住院号213470。反复排尿困难,合并尿频、尿急、尿疼三年,漏尿一年余。一年前排尿困难,病情日益加重,有尿线中断及点滴状改变。一次一天无排尿,小腹胀疼难忍,由于用力过猛突然自肛门处流出尿液。体格检查:下腹部明显压痛,于耻骨联合上缘有一坚硬肿块,金属尿 Patient, female, 33 years old, hospital number 213470. Repeated dysuria, frequent urination, urgency, urinary pain for three years, leaking more than a year. A year ago dysuria, the condition is aggravating day by day, there is a change of urinal line interruption and drip. Once a day without urination, abdominal distension pain unbearable, due to excessive force suddenly out of the urine from the anus. Physical examination: the lower abdomen was tenderness, the upper edge of the pubic symphysis has a hard mass, metal urine