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患者,27岁。 因进行性排尿困难6个月住院。患者于6个月前无诱因发生排尿困难,尿线变细,射程缩短,症状进行性加重,入院前1d不能自行排尿。无发热、血尿及脓尿。已婚5年,性生活正常,但尚未生育。体检:心肺正常,肝脾未触及,膀胱高度充盈、直肠指诊前列腺Ⅲ度肿大,质韧,无压痛,表面光滑,中央沟消失。尿常规示WBC (?),RBC(?)。B超示前列腺5.0cm×4.8cm,边界清楚,内部有4.5cm×4.5cm之液性暗区。CT扫描见前列腺增大,其内有一大小为5.0cm×5.0cm低密度区:CT值3～14Hu。增强扫描低密度区边缘呈环状增强,中心部不增强,盆腔内未见肿大淋巴结。CT考虑为前列腺囊性占位性病变,诊断:前列腺囊肿。
Patient, 27 years old. He was hospitalized for 6 months due to progressive dysuria. The patient had no cause of dysuria, urine line thinning, shortening of the range, symptoms aggravated, and he was unable to urinate on his own 1 day before admission. No fever, hematuria, and pyuria. Married for 5 years, sexual life is normal but not yet fertile. Physical examination: Normal heart and lung, untouched liver and spleen, high bladder filling, digital rectal examination III degree enlarged, tough, no tenderness, smooth surface, central groove disappeared. Urine routinely showed WBC (?), RBC(?). B ultrasound shows the prostate 5.0cm × 4.8cm, the boundary is clear, there are 4.5cm × 4.5cm inside the liquid dark area. The CT scan showed enlargement of the prostate. There was a low-density region 5.0 cm×5.0 cm in size: CT value 3 to 14 Hu. In the enhanced scanning low-density region, the ring edge was enhanced, the center was not enhanced, and no enlarged lymph nodes were found in the pelvis. CT is considered as a cystic lesion of the prostate, diagnosis: prostatic cyst.