Family Nurse Practitioner Exam

What follow-up action is warranted for a male patient with recurrent UTIs who reports no symptoms currently?

1. Perform a urinalysis

2. Refer to a urologist

3. Start antibiotic prophylaxis

4. Schedule a CT scan

The correct answer is: Refer to a urologist

In the context of a male patient with recurrent urinary tract infections (UTIs) who reports no current symptoms, referring to a urologist is an appropriate follow-up action. Male patients typically experience UTIs less frequently than females, and recurrent infections may signal an underlying anatomical or functional issue that requires further evaluation. A urologist specializes in conditions related to the urinary tract and male reproductive system. They can conduct a thorough assessment, which may include imaging studies or cystoscopy if indicated, to identify structural abnormalities, infections, or any other potential causes for the recurrent UTIs. This comprehensive evaluation is crucial in providing targeted treatment and preventing future occurrences. While urinalysis may help identify an active infection, in this specific scenario where the patient is asymptomatic, it would not be the most effective next step. Antibiotic prophylaxis may be beneficial in some cases, but given that the patient is currently symptom-free, initiating this would be premature without understanding the underlying cause. A CT scan may also be considered in certain cases, but it is generally not the first-line approach unless there are specific indications of structural abnormalities or complications. Thus, the referral to a urologist represents a proactive and detailed approach to managing the situation effectively.