患者男,58岁。自诉间歇性终末血尿,排尿困难达40年之久,近半年米,常感会阴部坠胀痛,不能久坐,小便不能控制而就诊。检查:右肾区叩击痛,膀胱轻度充盈(排尿后),膀胱底在耻骨联合上4cm,压痛,叩之浊音。直肠指诊:前列腺中央沟存在,前列腺及后尿道触痛明显,并能触到一表面高低不平可上下活动硬物,膀胱内触到的约拳头之大小可活动硬物。腹部平片:后尿道有一拇指大致密结石阴影,膀胱内有约手拳大。密度均匀结石阴影,双肾、输尿管区来见结石阴影。肾图:右肾呈梗阻图型,左肾中度 Male patient, 58 years old. Private prosecution of intermittent hematuria, dysuria up to 40 years, nearly six months of rice, often feeling perineal fall pain, can not sedentary, urine can not control and treatment. Check: Right kidney area percussion pain, mild filling of the bladder (after urination), bladder at the pubic symphysis 4cm, tenderness, percussion of the voiced sound. Rectal fingerprints: the existence of the central gland of the prostate, prostate and posterior urethral tenderness significantly, and can touch a rugged up and down the surface activity of hard objects, the size of the fist touched the bladder can move hard objects. Abdominal plain film: The posterior urethra has a thumb roughly dense stone shadow, there is about big hand in the bladder. Uniform density of stone shadow, kidney, ureter to see the stone shadow. Kidney chart: right kidney showed obstruction pattern, left kidney moderate