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患者,男,41岁,农民。因排尿困难7年、阴茎阴囊极度肿胀、不能排尿2天于1990年11月29日上午入院。既往右包茎史,尿道经常发炎。查体:体温36.2℃,表情痛苦,心肺(-)。下腹部及腹股沟部无肿胀、无压痛。阴茎、阴囊极度肿胀充血,阴茎直径5cm,长14cm;阴囊直径7cm,压痛明显。阴囊透光试验(+)。包皮内陷、粘连,有少量脓血尿渗出,不能自行解尿。肛门指诊:直肠前壁无饱满、无压痛。尿道造影:尿道外口狭窄。1990年11月20日下午手术:行包皮环切,显露龟头。见龟头极度肿胀、充血,部分组织坏死,尿道外口未探及。后改行耻骨上磅胱造瘘术。术后全身和局部抗炎治疗,阴茎
Patient, male, 41 years old, farmer. 7 years due to dysuria, penis scrotum extreme swelling, can not urinate 2 days in the morning of November 29, 1990 admission. Past history of the right phimosis, urethra often inflammation. Physical examination: body temperature 36.2 ℃, facial expression pain, cardiopulmonary (-). Lower abdomen and groin no swelling, no tenderness. Penis, scrotum extreme swelling congestion, penis diameter 5cm, length 14cm; scrotal diameter 7cm, tenderness significantly. Scrotal light transmission test (+). Foreskin retraction, adhesions, a small amount of seborrhea, exudate, can not self-urination. Anal referral: no rectal wall anterior, no tenderness. Urethra angiography: urethral stricture. November 20, 1990 afternoon surgery: line circumcision, glans revealed. See glans extremely swollen, congestion, some tissue necrosis, unexplained urethral orifice. After the conversion of suprapubic pounds of cystostomy. Postoperative systemic and local anti-inflammatory treatment, penis