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病例,男,49岁,主诉44年前突然发生不能排尿,会阴部及下腹部疼痛,用力排尿后于会阴部出现一黄豆大之结节,小便呈点滴状排出。此后每小便时疼痛,排尿缓慢,四十余年来会阴部肿物渐增大。近一年来排尿时疼痛加重,且阴茎勃起时会阴部疼痛较甚,性生活障碍。检查:会阴部可扪及一约5×3×3厘米之肿物,质硬压痛,边界清楚,左右可稍活动,肿物表浅,位于皮下,沿尿道有压痛。经尿道插入探子受阻。有触到结石感觉。X 线检查报告,会阴部下5厘米大小圆形致
Case, male, 49 years old, chief complaint 44 years ago, a sudden can not urinate, perineal and lower abdominal pain, hard urination in the perineum after a large nodules appear, drop was urinate was discharged. After each urination pain, micturition slow, more than 40 years perineal mass gradually increased. Urine pain increased in the past year, and penile erection acne more pain, sexual dysfunction. Check: The perineal palpable about a 5 × 3 × 3 cm of the tumor, hard tenderness, the border is clear, about a little activity, the superficial tumor, located subcutaneously, along the urethra have tenderness. Transurethral insertion of the probe is blocked. Have a touch of stone feeling. X-ray examination report, the perineum caused by the size of 5 cm round