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    prostatic secretions reveals the presence of 20 leukocytes

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    A 40-year-old man has been complaining of perineal pain and increased
    frequency of urination for the past several months. Rectal examination
    shows a mildly enlarged and tender prostate. No bacteria are isolated
    in cultures of expressed prostatic secretions after prostatic massage.
    Microscopic examination of expressed prostatic secretions reveals
    the presence of 20 leukocytes per high-power field. Levels of
    prostatic specific antigen (PSA) are mildly increased. Which of
    the following is the most likely diagnosis?

    A. Acute bacterial prostatitis
    B. Chronic abacterial prostatitis
    C. Chronic bacterial prostatitis
    D. Prostatic adenocarcinoma
    E. Prostatic hyperplasia

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    answr is B

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