A 40-year-old man comes to the physician because of increasing urinary frequency and urgency. He has
these symptoms in the past, but they are more troublesome now . He has also had urinary hesitancy and
interruption of flow . His temperature is 37C(98.6F), blood pressure is 130/75mm Hg, pulse is 76/min, and respirations are 15/min. Physical examination shows no abnormalities except increased tone of the anal sphincter and mild periprostatic tenderness. Urinalysis and urine culture shows no abnormalities and
expressed prostatic secretions show a leukocyte count of four W BCs/HPF (normal is less than 1 0
W BCs/HPF). Serum prostate-specific antigen is 2 ng/ml (normal value is less than 4ng/ml). W hich of the following is the most likely diagnosis?
A. Chronic bacterial prostatitis
B. Inflammatory chronic prostatitis
C. Non-inflammatory chronic prostatitis
D. Prostatic cancer
E. Acute bacterial prostatitis
these symptoms in the past, but they are more troublesome now . He has also had urinary hesitancy and
interruption of flow . His temperature is 37C(98.6F), blood pressure is 130/75mm Hg, pulse is 76/min, and respirations are 15/min. Physical examination shows no abnormalities except increased tone of the anal sphincter and mild periprostatic tenderness. Urinalysis and urine culture shows no abnormalities and
expressed prostatic secretions show a leukocyte count of four W BCs/HPF (normal is less than 1 0
W BCs/HPF). Serum prostate-specific antigen is 2 ng/ml (normal value is less than 4ng/ml). W hich of the following is the most likely diagnosis?
A. Chronic bacterial prostatitis
B. Inflammatory chronic prostatitis
C. Non-inflammatory chronic prostatitis
D. Prostatic cancer
E. Acute bacterial prostatitis