In chronic prostatitis/chronic pelvic pain syndrome, what is typical regarding etiology and presentation?

• A. Often unknown or multifactorial; pelvic pain lasting more than 3 months, urinary symptoms, and pain with ejaculation; urine cultures may be negative.
• B. Acute bacterial prostatitis with consistently positive urine cultures.
• C. Prostate cancer with PSA elevation as the primary sign.
• D. Urinary obstruction due to benign prostatic hyperplasia.

Answer: (A)