APEA 3P Exam Prep- Men's Health Questions and Answers with Explanations A 50-year-old male comes to the nurse practitioner clinic for evaluation. He complains of chills, pelvic pain, and dysuria. He should be diagnosed with (VS in image): acute bacterial prostatitis. chronic bacterial prostatitis. urinary tract infection. nonbacterial prostatitis. A. Acute bacterial prostatitis should always be considered first in a male patient who presents with these symptoms. He may have cloudy urine and symptoms of obstruction, like dribbling. Chronic bacterial prostatitis presents with a more subtle presentation, such as frequency, urgency, and rarely, low-grade fever. Urinary tract infection is far less common in men than women and is usually associated with anal intercourse or being uncircumcised. Nonbacterial prostatitis presents like chronic prostatitis except that urine and prostate secretion cultures are negative. Noninfectious epididymitis is common in: soccer players. truck drivers. Correct marathon runners. men who wear boxer-style underwear. B. Noninfectious epididymitis occurs when there is reflux of urine into the epididymis from the ejaculatory ducts and vas deferens. This can cause ductal obstruction and acute inflammation without infection. This canoccur if males spend a lot of time sitting. Truck drivers are particularly susceptible because they spend many uninterrupted hours sitting