This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'Complication which commonly accompanies acute prostatitis - \nSelect and explain. \nA. Epididymitis, B. Orchitis, C. Seminal vesiculitis, D. Sterility', 'role': 'user'}, {'content': 'Answer: C \nExplanation: • Acute inflammation of prostate associated with UTI\n• Caused by ascending urethral infection or reflux of infected urine\xa0into prostatic ducts\n• MC organism: E. coli\n• Patients present with sudden onset high grade fever with chills and rigors, severe irritative symptoms and enlarged, tender and boggy prostate\n• Catheterization and prostatic massage is contraindicated\n• MC used antibiotics are: TMP-SMX and Ciprofloxacin (Both are having better concentration in prostatic tissue)\xa0\n• Around 4-6 weeks\xa0of antibiotic therapy is used to avert chronic bacterial prostatitis.\nChronic Bacterial Prostatitis\n• Due to persistent bacterial infection\xa0of prostate\n• Insidious in onset, characterized by relapsing or recurrent UTI\xa0caused by persistence of pathogen in prostatic fluid despite of antibiotic therapy\n• Diagnosis is made by microscopic examination and culture of prostatic expressate and culture of urine obtained before and after prostatic massage.\n• Treated by chronic antibiotic suppression (3–4 months)\nProstatic Abscess\n• Most cases result from complications of acute bacterial prostatitis\n• Fluctuation is a very late sign\n• Predisposing factors: Diabetes, renal insufficiency, immunosuppression, urethral instrumentation, chronic indwelling catheter\n• Diagnosis: TRUS or pelvic CT scan is crucial for diagnosis and treatment\n• Treated by transurethral drainage and antibiotics', 'role': 'assistant'}]