(1〜3题共用题干）患者男，72岁。排尿困难5年，近2个月加重伴食欲缺乏。直肠指检前列腺明显增大,5cmX6cm，pP诊示膀胱已达脐下3横指。血BUN36mmol/L，CB.340/xmol/L。B超示双肾中度积水。下列治疗措施最为合理的是

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