患者,35岁。因排尿困难1月余,排尿不出1天伴会阴部胀痛入院,1月前无明显诱因出现排尿费力,尿线变细,伴尿频、尿急,继而出现排尿踌躇,淋漓不尽。在外院诊断为慢性前列腺炎、尿路感染予以相应治疗,但上述症状呈渐进性加重,出现排尿不出1天而来我院住院治疗。曾有血精史。体检:一般情况好,下腹膀胱区膨隆,膀胱浊音区高达脐下1指,直肠指诊发现距肛门约4cm处前方触及-7cm× Patient, 35 years old. Due to dysuria in more than 1 month, urination less than 1 days with perineal tenderness admitted to hospital, there was no obvious predisposition to urination occurred a month ago, urine thinning, with frequent urination, urgency, followed by voiding hesitant, dripping. In the outpatient diagnosis of chronic prostatitis, urinary tract infection be treated accordingly, but the above symptoms were progressive increase, appear to urinate within 1 days from our hospital. Have a history of blood sperm. Physical examination: the general situation is good, the lower abdomen bulging bladder area, bladder dullness area up to 1 under the umbilical, rectal examination found about 4cm from the anus before touching -7cm