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A 30-year-old man comes to the office due to 3 days of dysuria and urinary frequency. He had similar symptoms twice over the past 4 months; both times, he was told he had a urinary tract infection and had complete resolution of symptoms following short courses of antibiotic therapy. He is sexually active and has pain with ejaculation but no urethral discharge or fever. The patient smokes a pack of cigarettes daily and does not use alcohol or illicit drugs. He has no other chronic medical issues. Temperature is 37.2 C (99 F) , blood pressure is 120/80 mm Hg, and pulse is 78/min. Abdomen is soft and nontender. There is no costovertebral angle tenderness. External genitalia are normal without any focal tenderness, rashes, or ulcerations. Rectal examination reveals a smooth, nontender prostate. Urinalysis is as follows: Which of the following is the most likely cause of this patient's current symptoms?
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