UTI in men: symptoms, causes, diagnosis and treatment

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Men can get urinary tract infections (UTIs) . Because UTIs are more common among women, men are often unaware that they can develop these infections as well. UTIs in men cause painful urination, as well as other symptoms. These infections can often be diagnosed with a urinalysis (U / A) , also called a urinalysis.

Certain diseases, such as sexually transmitted diseases (STDs) and diseases of the prostate, increase the risk of UTIs in men. Treatment of urinary tract infections generally includes antibiotics and evaluation and management of risk factors.

Get Medication Information / Gary Foerster

Symptoms

UTIs can cause many different symptoms in men. Sometimes these infections do not cause any symptoms in the early stages and cause noticeable effects as they worsen over time.

Symptoms of a UTI in men can include any of the following :

  • Dysuria ( pain or burning sensation when urinating)
  • Frequent feeling of constant pressure in the bladder area (lower abdomen in the center)
  • Urgent urination (feeling like you need to come out right away)
  • Frequent urination, usually with a small amount of urine.
  • Nocturia (waking up to urinate at night)
  • Cloudy urine
  • Milky discharge from the penis
  • Bad smelling urine
  • Bladder pain
  • Hematuria (blood in the urine)
  • Urinary incontinence (loss of bladder control)
  • Side pain (pain affecting the kidneys in the lower back)
  • Fever and / or chills
  • Malaise (tiredness and lack of energy)
  • Nausea and / or vomiting

You can develop any of these symptoms. In some men, UTI symptoms can come and go for several weeks before they suddenly get worse.

Complications

UTIs can cause serious health problems if left untreated. Complications are more common in men with weak immune systems.

The serious consequences of UTIs that men can develop include :

Some men have recurrent urinary infections. This is concerning and a sign that there is a serious risk factor that needs to be addressed.

Causes

UTIs can affect men of any age and for a variety of reasons, and are more common in older men. These infections are usually caused by bacteria, but they can also be caused by viruses.

There are several risk factors associated with UTIs, including :

In some cases, urethritis can occur for an unknown reason, a condition called nonspecific urethritis (NSU) .

These infections can affect any part of the urinary tract system, including the kidneys , the ureter (which connects the kidneys to the bladder), the bladder, and the urethra (through which urine leaves the body through the penis).

Urethritis is an inflammation of the urethra. This is the most common type of UTI because the urethra is an opening through which infectious organisms can enter the body.

Children who develop UTIs may have a congenital malformation of part of the urinary system. Men between the ages of 20 and 35 are generally at low risk of developing UTIs, unless they are caused by an STD. Having multiple sexual partners and having sex without a condom increases your risk of getting an STD.

Diagnostics

If you have symptoms of a UTI, your healthcare provider will most likely obtain a detailed medical history and perform a physical exam.

In addition to the medical history and physical exam, you may need some tests to help you make a diagnosis. Urinalysis often shows bacteria and other signs of infection. Other diagnostic tests are often needed to help determine if there are anatomical problems that may be causing the infection.

Urine analysis

Urinalysis may show an elevated white blood cell count, which is a sign of infection. Sometimes bacteria can be identified by a urine culture. A urine culture uses a urine sample to assess bacterial growth in a laboratory over several days.

Red blood cells are a sign of a serious infection or more serious urinary tract disease and can also be found in urine.

There are several other medical problems that can cause some UTI-like symptoms. For example, diabetes can cause frequent urination and the urge to urinate, and urinalysis can differentiate between diabetes (which causes high levels of glucose in the urine) and urinary tract infections.

Visual tests

You may also need imaging tests, such as a computed tomography (CT) scan or pelvic ultrasound. These tests can identify problems such as tumors, cancers, or malformations that can predispose you to a UTI.

Diagnostic procedures

Depending on your condition, you may need certain diagnostic procedures that can provide your healthcare provider with more detailed information about the anatomy of your urinary tract. These tests are invasive and can be inconvenient. If you are concerned that you may experience pain, you may need anesthesia during the procedure.

A digital rectal exam is a test in which your healthcare provider examines the size and shape of your prostate by placing a gloved finger in your rectum. This test, along with the results of imaging tests, can help detect an enlarged prostate or serious problems such as prostate cancer.

Cystoscopy is a test in which a tube with a camera is inserted into the urethra to view the inside of the urethra and bladder. This test can detect anatomical defects such as stenosis and can also aid in the diagnosis of cancer.

Watch out

Antibiotics are usually needed to treat UTIs . These are prescription drugs that kill bacteria. For uncomplicated UTIs, oral (oral) antibiotics are usually sufficient. However, for serious complications such as sepsis or pyelonephritis, intravenous (IV) antibiotics may usually be required.

Your doctor may initially choose an antibiotic that is generally effective for treating UTIs in men, such as nitrofurantoin (Macrobid), fosfomycin (monurol), trimethoprim-sulfamethoxazole (bactrim and others), ciprofloxacin (cipro), or levofloxacin) (levofloxacin) .

People often feel better within days of starting antibiotics for UTIs. However, if you stop taking antibiotics when you feel better, rather than taking the full prescription, you are more likely to have a partially healed infection and symptoms will reappear a few days after you stop taking the antibiotics.

You should try to stay hydrated while you recover from a UTI . Adequate urine flow helps eliminate the infectious organism. Ideally, water is the best liquid to stay hydrated because sugary or caffeinated drinks can dehydrate you.

Risk factor management

Reducing the risk of UTIs may require treatment for serious medical problems. For example, if you have bladder or prostate cancer, you may need surgery. If you have a birth defect, a corrective procedure can also help.

Keep in mind that recurrent UTIs can predispose you to developing even more UTIs, as they can lead to stricture and scarring of the urethra.

Get the word of drug information

UTIs are not common in men, but any man can develop UTIs. If you have symptoms of a UTI, it is important to seek medical attention because these infections do not go away on their own.

Also, if you are prone to recurrent UTIs, it is very important to discuss this with your healthcare provider so that you can receive treatment to reduce your risk factors.

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