Question

Gradual onset of illness, no hematuria, no suprapubic pain, duration of Sx >7 days

A) Acute cystitis
B) Acute pyelonephritis
C) Chronic bacterial prostatitis
D) Chronic pelvic pain syndrome (CPPS)

Answer 1

The symptoms described are consistent with chronic prostatitis or chronic pelvic pain syndrome (CPPS). Unlike acute cystitis or pyelonephritis, chronic prostatitis/CPPS is characterized by milder and more persistent symptoms without blood in the urine or suprapubic pain.

Step-by-step explanation:

The symptoms described, including gradual onset of illness, no hematuria, no suprapubic pain, and duration of symptoms greater than 7 days, are consistent with chronic prostatitis or chronic pelvic pain syndrome (CPPS).

Prostatitis is the inflammation of the prostate gland and can be either acute or chronic. Chronic prostatitis/CPPS is the most common form of prostatitis and can be associated with urinary symptoms, pain in the pelvic region, and discomfort during urination.

Unlike acute cystitis or acute pyelonephritis, which typically present with more severe symptoms and may include blood in the urine (hematuria) and suprapubic pain, chronic prostatitis/CPPS is characterized by milder and more persistent symptoms without hematuria or suprapubic pain.