患者男性，65岁，排尿困难，夜尿增多5年余，突发全程肉眼血尿伴尿频、尿痛5天入院。体检发现下腹饱满，有轻压痛，未们及包块。肛门指检前列腺卜增大，质韧光滑无压病。B超显示右肾积水，前列腺增大，臆优颈部有5x5xscm占位病变，内部回声均匀，边界清楚。尿中红细胞满视野， Male patient, 65 years old, dysuria, nocturia increased more than 5 years, the sudden onset of gross hematuria with frequent urination, dysuria admitted to hospital for 5 days. Physical examination found lower abdomen full, mild tenderness, and their mass. Prostate anal fingering increase BU, quality and tough and smooth without pressure disease. B ultrasound showed right hydronephrosis, enlarged prostate, gifted neck 5x5xscm lesions occupy, the internal echo uniform, the boundary is clear. Urine red blood cells full field of vision,