患者 ,男 ,74岁。主因排尿困难伴尿频 1 0年余 ,加重伴尿潴留 3天入院。入院后体检 :生命体征平稳 ,心、肺、腹未见异常 ,双肾区无叩痛 ,直肠指检正常 ,肛门扩约肌不松弛 ,直肠空虚 ,前列腺 度增生 ,表面光滑 ,未触及明显结节 ,质地中等 ,中央沟消失 ,无压痛。右附睾头部可触 Patient, male, 74 years old. Mainly due to dysuria with urinary frequency more than 10 years, increased with urinary retention 3 days admitted. Physical examination after admission: stable vital signs, no abnormality in heart, lungs and abdomen, no percussion pain in the kidneys, normal rectal examination, anal sphincter relaxation, rectum emphysema, benign prostatic hyperplasia, smooth surface and no obvious knot Festival, medium texture, the central ditch disappeared, no tenderness. Right epididymis head can touch