06-17-2010, 11:35 AM
36. An asymptomatic 62-year-old man comes for afollow-up visit. One month ago, he had acute cystitis treated with ciprofloxacin. At his initial visit, a urine culture grew Klebsiella pneumoniae. He has a 2-year history of chronic prostatitis and has had four
episodes of cystitis over the past year. His temperature is 36.9C (98.4 F). Examination, including prostate examination, shows no abnormalities. Which of the following is the most appropriate measure to prevent recurrent episodes of cystitis in this patient?
A) Trimethoprim-sulfamethoxazole prophylaxis
B) Insertion of a Foley catheter
C) Total prostatectomy
D) Transurethral prostatectomy
E) No treatment is available
episodes of cystitis over the past year. His temperature is 36.9C (98.4 F). Examination, including prostate examination, shows no abnormalities. Which of the following is the most appropriate measure to prevent recurrent episodes of cystitis in this patient?
A) Trimethoprim-sulfamethoxazole prophylaxis
B) Insertion of a Foley catheter
C) Total prostatectomy
D) Transurethral prostatectomy
E) No treatment is available