A 35-year-old man is seen in the clinic because he is experiencing symptoms of urinary frequency, dysuria, and noticeable urethral discharge. The nurse knows the patient is most likely suffering from what?
A) Chronic bacterial prostatitis
B) Postprandial hyperglycemia
C) Benign prostatic hyperplasia
D) Urolithiasis
Ans: A
Feedback: Prostatitis is an inflammation of the prostate gland that is often associated with lower urinary tract symptoms and symptoms of sexual discomfort and dysfunction. Symptoms are usually mild, consisting of frequency, dysuria, and occasionally urethral discharge. There are four types of prostatitis: acute bacterial prostatitis (type I), chronic bacterial prostatitis (type II), chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) (type III), and asymptomatic inflammatory prostatitis (type IV). Acute prostatitis is characterized by the sudden onset of fever, dysuria, perineal prostatic pain, and severe lower urinary tract symptoms: dysuria, frequency, urgency, hesitancy, and nocturia. Approximately 5% of cases of type I prostatitis (acute prostatitis) progress to type II prostatitis (chronic bacterial prostatitis). Patients with type II disease are typically asymptomatic between episodes. Postprandial hyperglycemia will yield symptoms of polyuria. Urinary incontinence occurs with benign prostatic hyperplasia or hypertrophy. The patient may experience nocturia, urgency, decrease in volume and force of urinary stream. Urolithiasis can cause excruciating pain and discomfort.
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