病历摘要男,18岁,1981年2月24日以排尿困难、尿痛、尿床17年入院。近10多年来尿流呈细线状或点滴状,偶有尿流中断现象。排尿时阴茎疼痛,有时不能忍受。夜间经常尿床,未解过血尿。1978年有一次三天不能解小便,在门诊诊断为“膀胱结石合并尿潴留”,作膀胱穿刺抽尿后能自动排尿。查体:一般情况好,心肺及腹部未见异常。阴茎粗大,表面血管扩张。化验尿镜检有少量红血球。X线平片报告为膀胱结石。住院手术经过:入院后按膀胱结石之诊断进行术前准备。放置橡皮导尿管进入后尿道时有阻力,但用力推送即能通过。次日在腰麻下行耻骨上膀胱切开取石术,见膀胱容量增大,粘膜充血,有小梁及憩室形成,但未发现膀胱结 Medical summary Male, 18 years old, February 24, 1981 with dysuria, dysuria, bed-wetting 17 years admitted. Nearly 10 years of urine was thin or bit-like, intermittent urinary flow interruption phenomenon. Penile pain when urinating, sometimes unbearable. Urine bed often at night, did not understand hematuria. In 1978 there was a three-day can not solve urination, diagnosed in the clinic as “bladder stones combined with urinary retention” for urinary bladder puncture can automatically urinate. Physical examination: the general situation is good, no abnormal heart and lung and abdomen. Penis thick, surface vasodilation. Laboratory urinalysis with a small amount of red blood cells. X-ray film reported as bladder stones. After hospitalization: According to the diagnosis of bladder stones after admission for preoperative preparation. There is resistance when placing the rubber catheter into the posterior urethra, but it can be pushed by hard pushing. The next day in the lower thoracic suprapubic cystolithotomy, see increased bladder capacity, mucosal congestion, trabecular and diverticulum formation, but did not find the bladder node